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 $17.38 Median $48.98 Typical High $81.28 | Facility | None | $17.38 | $48.98 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $25.12 | Professional | None | $17.38 | $17.38 | $25.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $57.54 | Facility | None | $13.49 | $19.95 | $57.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.33 Median $18.20 Typical High $45.71 | Professional | None | $9.33 | $18.20 | $45.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.70 Median $44.67 Typical High $77.62 | Facility | None | $25.70 | $44.67 | $77.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $22.91 | Professional | None | $16.98 | $17.78 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $46.77 | Facility | None | $11.75 | $25.70 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $21.88 Typical High $70.79 | Professional | None | $12.30 | $21.88 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $4,897.79 | Facility | None | $20.89 | $30.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.12 Median $18.20 Typical High $70.79 | Professional | None | $9.12 | $18.20 | $70.79 |
Health New England Setting Facility Modifier None Typical Low $16.98 Median $23.44 Typical High $269.15 | Facility | None | $16.98 | $23.44 | $269.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $57.54 | Facility | None | $13.49 | $19.95 | $57.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.33 Median $18.20 Typical High $45.71 | Professional | None | $9.33 | $18.20 | $45.71 |
United Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $21.88 | Facility | None | $16.22 | $18.20 | $21.88 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $38.02 | Professional | None | $7.24 | $10.72 | $38.02 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $19.95 Typical High $31.62 | Facility | None | $15.85 | $19.95 | $31.62 |
Well Sense Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None | $19.05 | $19.05 | $22.39 |
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 $8.51 Median $8.51 Typical High $10.23 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.07 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $18.20 Median $23.44 Typical High $28.18 | Facility | QW · Waived lab test | $18.20 | $23.44 | $28.18 |
Where Massachusetts sits
The same service costs 4.6 times more in Kansas than in Georgia. 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· 21st of 51
$19.95
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.