How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $24.55 Median $70.79 Typical High $117.49 | Facility | None | $24.55 | $70.79 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $117.49 | Professional | None | $24.55 | $24.55 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $144.54 | Facility | None | $35.48 | $54.95 | $144.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $21.88 Median $102.33 Typical High $309.03 | Professional | None | $21.88 | $102.33 | $309.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $36.31 Median $95.50 Typical High $138.04 | Facility | None | $36.31 | $95.50 | $138.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $45.71 | Professional | None | $33.11 | $33.11 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $66.07 Typical High $134.90 | Facility | None | $33.11 | $66.07 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $52.48 Typical High $186.21 | Professional | None | $27.54 | $52.48 | $186.21 |
Fallon Health Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $5,888.44 | Facility | None | $63.10 | $81.28 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | None | $69.18 | $69.18 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $21.88 Median $47.86 Typical High $104.71 | Professional | None | $21.88 | $47.86 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $51.29 Median $53.70 Typical High $57.54 | Facility | None | $51.29 | $53.70 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $144.54 | Facility | None | $35.48 | $54.95 | $144.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $21.88 Median $102.33 Typical High $309.03 | Professional | None | $21.88 | $102.33 | $309.03 |
United Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $57.54 | Facility | None | $43.65 | $47.86 | $57.54 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $91.20 | Professional | None | $19.50 | $28.84 | $91.20 |
Well Sense Setting Facility Modifier None Typical Low $42.66 Median $58.88 Typical High $87.10 | Facility | None | $42.66 | $58.88 | $87.10 |
Well Sense Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $58.88 | Professional | 52 · Reduced service | $12.30 | $12.30 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $23.44 | Professional | 53 · Discontinued | $5.01 | $5.01 | $23.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $47.86 Median $63.10 Typical High $74.13 | Facility | QW · Waived lab test | $47.86 | $63.10 | $74.13 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 17th of 51
$54.95
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.