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 $38.02 Median $75.86 Typical High $177.83 | Facility | None | $38.02 | $75.86 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $177.83 | Professional | None | $38.02 | $38.02 | $177.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $138.04 | Facility | None | $36.31 | $56.23 | $138.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $26.30 Median $91.20 Typical High $346.74 | Professional | None | $26.30 | $91.20 | $346.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $97.72 Typical High $141.25 | Facility | None | $27.54 | $97.72 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $51.29 | Professional | None | $40.74 | $42.66 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $154.88 | Facility | None | $33.88 | $67.61 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $169.82 | Professional | None | $26.30 | $47.86 | $169.82 |
Fallon Health Setting Facility Modifier None Typical Low $28.84 Median $74.13 Typical High $5,888.44 | Facility | None | $28.84 | $74.13 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | None | $63.10 | $63.10 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $134.90 | Professional | None | $26.30 | $43.65 | $134.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $36.31 Median $56.23 Typical High $138.04 | Facility | None | $36.31 | $56.23 | $138.04 |
Mass General Brigham Setting Professional Modifier None Typical Low $26.30 Median $91.20 Typical High $346.74 | Professional | None | $26.30 | $91.20 | $346.74 |
United Setting Facility Modifier None Typical Low $38.90 Median $43.65 Typical High $52.48 | Facility | None | $38.90 | $43.65 | $52.48 |
United Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $85.11 | Professional | None | $17.38 | $26.30 | $85.11 |
Well Sense Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $79.43 | Facility | None | $38.90 | $53.70 | $79.43 |
Well Sense Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Professional | None | $41.69 | $41.69 | $50.12 |
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 $19.05 Median $19.05 Typical High $89.13 | Professional | 52 · Reduced service | $19.05 | $19.05 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $36.31 | Professional | 53 · Discontinued | $7.59 | $7.59 | $36.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $43.65 Median $56.23 Typical High $67.61 | Facility | QW · Waived lab test | $43.65 | $56.23 | $67.61 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 12th of 51
$56.23
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.