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 $13.18 Median $26.30 Typical High $57.54 | Facility | None | $13.18 | $26.30 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | None | $13.18 | $13.18 | $13.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $54.95 | Facility | None | $13.80 | $19.50 | $54.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $47.86 | Professional | None | $11.22 | $18.62 | $47.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.62 Median $23.44 Typical High $46.77 | Facility | None | $18.62 | $23.44 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $18.20 | Professional | None | $17.38 | $17.38 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $13.18 Typical High $30.20 | Facility | None | $12.30 | $13.18 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $22.91 Typical High $72.44 | Professional | None | $10.47 | $22.91 | $72.44 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $5,888.44 | Facility | None | $26.92 | $31.62 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | None | $26.92 | $26.92 | $31.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.91 Median $18.62 Typical High $53.70 | Professional | None | $8.91 | $18.62 | $53.70 |
Health New England Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $54.95 | Facility | None | $13.80 | $19.50 | $54.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $47.86 | Professional | None | $11.22 | $18.62 | $47.86 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $22.39 | Facility | None | $16.60 | $18.62 | $22.39 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.22 Typical High $38.90 | Professional | None | $7.41 | $11.22 | $38.90 |
Well Sense Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $32.36 | Facility | None | $13.80 | $20.42 | $32.36 |
Well Sense Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.60 | Professional | None | $13.80 | $13.80 | $16.60 |
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 $6.46 Median $6.46 Typical High $6.92 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.75 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $18.62 Median $23.99 Typical High $28.84 | Facility | QW · Waived lab test | $18.62 | $23.99 | $28.84 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 17th of 51
$18.62
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.