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 $10.96 Median $21.88 Typical High $51.29 | Facility | None | $10.96 | $21.88 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $51.29 | Professional | None | $10.96 | $10.96 | $51.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $151.36 | Facility | None | $37.15 | $43.65 | $151.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $30.20 Median $131.83 Typical High $251.19 | Professional | None | $30.20 | $131.83 | $251.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $79.43 Median $112.20 Typical High $162.18 | Facility | None | $79.43 | $112.20 | $162.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.45 Median $47.86 Typical High $50.12 | Professional | None | $14.45 | $47.86 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $33.11 Typical High $89.13 | Facility | None | $16.22 | $33.11 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $48.98 Typical High $239.88 | Professional | None | $26.92 | $48.98 | $239.88 |
Fallon Health Setting Facility Modifier None Typical Low $72.44 Median $85.11 Typical High $5,888.44 | Facility | None | $72.44 | $85.11 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $30.20 Median $87.10 Typical High $131.83 | Professional | None | $30.20 | $87.10 | $131.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $37.15 Median $43.65 Typical High $151.36 | Facility | None | $37.15 | $43.65 | $151.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $30.20 Median $131.83 Typical High $251.19 | Professional | None | $30.20 | $131.83 | $251.19 |
United Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $60.26 | Facility | None | $45.71 | $50.12 | $60.26 |
United Setting Professional Modifier None Typical Low $14.13 Median $50.12 Typical High $125.89 | Professional | None | $14.13 | $50.12 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $44.67 Median $61.66 Typical High $91.20 | Facility | None | $44.67 | $61.66 | $91.20 |
Well Sense Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
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 $5.37 Median $5.37 Typical High $25.70 | Professional | 52 · Reduced service | $5.37 | $5.37 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $10.23 | Professional | 53 · Discontinued | $2.19 | $2.19 | $10.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $50.12 Median $66.07 Typical High $77.62 | Facility | QW · Waived lab test | $50.12 | $66.07 | $77.62 |
Where Massachusetts sits
The same service costs 10.2 times more in Alaska than in Kentucky. 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· 6th of 51
$75.86
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.