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 $30.90 Median $61.66 Typical High $144.54 | Facility | None | $30.90 | $61.66 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $144.54 | Professional | None | $30.90 | $30.90 | $144.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $29.51 Median $45.71 Typical High $109.65 | Facility | None | $29.51 | $45.71 | $109.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $26.92 Median $85.11 Typical High $398.11 | Professional | None | $26.92 | $85.11 | $398.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $63.10 Median $89.13 Typical High $125.89 | Facility | None | $63.10 | $89.13 | $125.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $40.74 | Professional | None | $32.36 | $33.88 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $54.95 Typical High $123.03 | Facility | None | $26.92 | $54.95 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $37.15 Typical High $134.90 | Professional | None | $20.89 | $37.15 | $134.90 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $5,888.44 | Facility | None | $50.12 | $58.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None | $50.12 | $50.12 | $58.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.92 Median $58.88 Typical High $100.00 | Professional | None | $26.92 | $58.88 | $100.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $29.51 Median $45.71 Typical High $109.65 | Facility | None | $29.51 | $45.71 | $109.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $26.92 Median $85.11 Typical High $398.11 | Professional | None | $26.92 | $85.11 | $398.11 |
United Setting Facility Modifier None Typical Low $31.62 Median $34.67 Typical High $41.69 | Facility | None | $31.62 | $34.67 | $41.69 |
United Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $100.00 | Professional | None | $20.89 | $34.67 | $100.00 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $63.10 | Facility | None | $30.90 | $42.66 | $63.10 |
Well Sense Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
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 $15.14 Median $15.14 Typical High $72.44 | Professional | 52 · Reduced service | $15.14 | $15.14 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $28.84 | Professional | 53 · Discontinued | $6.17 | $6.17 | $28.84 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $34.67 Median $45.71 Typical High $53.70 | Facility | QW · Waived lab test | $34.67 | $45.71 | $53.70 |
Where Massachusetts sits
The same service costs 4.6 times more in Kentucky than in New Jersey. 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· 9th 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.