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 $33.11 Median $93.33 Typical High $204.17 | Facility | None | $33.11 | $93.33 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $154.88 | Professional | None | $33.11 | $33.11 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $346.74 | Facility | None | $107.15 | $125.89 | $346.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $69.18 Median $309.03 Typical High $1,023.29 | Professional | None | $69.18 | $309.03 | $1,023.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $457.09 | Facility | None | $229.09 | $323.59 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $109.65 | Professional | None | $44.67 | $44.67 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $186.21 Typical High $446.68 | Facility | None | $93.33 | $186.21 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $177.83 Typical High $457.09 | Professional | None | $69.18 | $177.83 | $457.09 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $194.98 Typical High $5,888.44 | Facility | None | $36.31 | $194.98 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | None | $165.96 | $165.96 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $69.18 Median $199.53 Typical High $302.00 | Professional | None | $69.18 | $199.53 | $302.00 |
Health New England Setting Facility Modifier None Typical Low $81.28 Median $316.23 Typical High $331.13 | Facility | None | $81.28 | $316.23 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $346.74 | Facility | None | $107.15 | $125.89 | $346.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $69.18 Median $309.03 Typical High $1,023.29 | Professional | None | $69.18 | $309.03 | $1,023.29 |
United Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $141.25 | Facility | None | $104.71 | $117.49 | $141.25 |
United Setting Professional Modifier None Typical Low $28.84 Median $117.49 Typical High $295.12 | Professional | None | $28.84 | $117.49 | $295.12 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $208.93 | Facility | None | $102.33 | $141.25 | $208.93 |
Well Sense Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | None | $36.31 | $36.31 | $43.65 |
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 $16.60 Median $16.60 Typical High $77.62 | Professional | 52 · Reduced service | $16.60 | $16.60 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $30.90 | Professional | 53 · Discontinued | $6.61 | $6.61 | $30.90 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $117.49 Median $151.36 Typical High $181.97 | Facility | QW · Waived lab test | $117.49 | $151.36 | $181.97 |
Where Massachusetts sits
The same service costs 6.3 times more in Alaska than in Alabama. 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· 13th of 51
$195
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.