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 $14.45 Median $44.67 Typical High $74.13 | Facility | None | $14.45 | $44.67 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.60 | Professional | None | $14.45 | $14.45 | $16.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.30 Median $18.20 Typical High $52.48 | Facility | None | $12.30 | $18.20 | $52.48 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $41.69 | Professional | None | $10.00 | $16.60 | $41.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.44 Median $40.74 Typical High $70.79 | Facility | None | $23.44 | $40.74 | $70.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $21.38 | Professional | None | $15.49 | $16.22 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $23.99 Typical High $42.66 | Facility | None | $10.96 | $23.99 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $64.57 | Professional | None | $11.48 | $20.42 | $64.57 |
Fallon Health Setting Facility Modifier None Typical Low $19.05 Median $28.18 Typical High $4,897.79 | Facility | None | $19.05 | $28.18 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | None | $23.99 | $23.99 | $28.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $64.57 | Professional | None | $8.32 | $16.60 | $64.57 |
Health New England Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.30 Median $18.20 Typical High $52.48 | Facility | None | $12.30 | $18.20 | $52.48 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $41.69 | Professional | None | $10.00 | $16.60 | $41.69 |
United Setting Facility Modifier None Typical Low $14.79 Median $16.60 Typical High $19.95 | Facility | None | $14.79 | $16.60 | $19.95 |
United Setting Professional Modifier None Typical Low $6.61 Median $12.88 Typical High $34.67 | Professional | None | $6.61 | $12.88 | $34.67 |
Well Sense Setting Facility Modifier None Typical Low $14.79 Median $18.20 Typical High $28.84 | Facility | None | $14.79 | $18.20 | $28.84 |
Well Sense Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None | $17.38 | $17.38 | $20.89 |
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 $7.24 Median $7.24 Typical High $8.32 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.31 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.60 Median $21.38 Typical High $25.70 | Facility | QW · Waived lab test | $16.60 | $21.38 | $25.70 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 18th of 51
$18.20
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.