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 $19.50 Median $38.90 Typical High $87.10 | Facility | None | $19.50 | $38.90 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $19.50 | $19.50 | $19.50 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $10.47 Median $16.60 Typical High $125.89 | Professional | None (both parts) | $10.47 | $16.60 | $125.89 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $20.42 Typical High $44.67 | Facility | None | $17.78 | $20.42 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $16.22 | $16.22 | $16.22 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $5,888.44 | Facility | None | $35.48 | $42.66 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None (both parts) | $35.48 | $35.48 | $42.66 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $15.14 Median $25.12 Typical High $52.48 | Professional | None (both parts) | $15.14 | $25.12 | $52.48 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $10.47 Median $16.60 Typical High $125.89 | Professional | None (both parts) | $10.47 | $16.60 | $125.89 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
United Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $30.20 | Facility | None | $22.39 | $25.12 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $10.00 Median $15.14 Typical High $27.54 | Professional | None (both parts) | $10.00 | $15.14 | $27.54 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $42.66 | Facility | None | $18.62 | $18.62 | $42.66 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $4,786.30 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $4,786.30 |
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 $9.77 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $25.12 Median $33.11 Typical High $38.90 | Facility | QW · Waived lab test | $25.12 | $33.11 | $38.90 |
Where Massachusetts sits
The same service costs 4.9 times more in Texas than in New Mexico. 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· 39th of 51
$19.50
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.