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 $181.97 | Facility | None | $38.02 | $75.86 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $181.97 | Professional | None | $38.02 | $38.02 | $181.97 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $158.49 | Facility | None | $38.02 | $58.88 | $158.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.88 Median $125.89 Typical High $398.11 | Professional | None | $33.88 | $125.89 | $398.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $162.18 | Facility | None | $81.28 | $114.82 | $162.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | None | $47.86 | $47.86 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $70.79 Typical High $154.88 | Facility | None | $38.02 | $70.79 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $53.70 Typical High $199.53 | Professional | None | $30.90 | $53.70 | $199.53 |
Fallon Health Setting Facility Modifier None Typical Low $72.44 Median $87.10 Typical High $5,888.44 | Facility | None | $72.44 | $87.10 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | None | $72.44 | $72.44 | $87.10 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.88 Median $85.11 Typical High $141.25 | Professional | None | $33.88 | $85.11 | $141.25 |
Health New England Setting Facility Modifier None Typical Low $57.54 Median $239.88 Typical High $562.34 | Facility | None | $57.54 | $239.88 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $158.49 | Facility | None | $38.02 | $58.88 | $158.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.88 Median $125.89 Typical High $398.11 | Professional | None | $33.88 | $125.89 | $398.11 |
United Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $61.66 | Facility | None | $45.71 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $131.83 | Professional | None | $30.90 | $51.29 | $131.83 |
Well Sense Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $93.33 | Facility | None | $44.67 | $63.10 | $93.33 |
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 $51.29 Median $66.07 Typical High $79.43 | Facility | QW · Waived lab test | $51.29 | $66.07 | $79.43 |
Where Massachusetts sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 7th of 51
$77.62
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.