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 $11.48 Median $32.36 Typical High $53.70 | Facility | None | $11.48 | $32.36 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $13.49 | Professional | None | $11.22 | $11.48 | $13.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.91 Median $13.18 Typical High $38.02 | Facility | None | $8.91 | $13.18 | $38.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $30.20 | Professional | None | $7.08 | $12.02 | $30.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $58.88 | Facility | None | $19.95 | $29.51 | $58.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $15.14 | Professional | None | $11.22 | $11.75 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $30.90 | Facility | None | $7.76 | $16.98 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $45.71 | Professional | None | $8.13 | $14.45 | $45.71 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $20.42 Typical High $5,888.44 | Facility | None | $17.38 | $20.42 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $45.71 | Professional | None | $6.03 | $12.02 | $45.71 |
Health New England Setting Facility Modifier None Typical Low $11.22 Median $27.54 Typical High $147.91 | Facility | None | $11.22 | $27.54 | $147.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.91 Median $13.18 Typical High $38.02 | Facility | None | $8.91 | $13.18 | $38.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $30.20 | Professional | None | $7.08 | $12.02 | $30.20 |
United Setting Facility Modifier None Typical Low $10.72 Median $12.02 Typical High $14.45 | Facility | None | $10.72 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $4.79 Median $9.12 Typical High $25.12 | Professional | None | $4.79 | $9.12 | $25.12 |
Well Sense Setting Facility Modifier None Typical Low $10.47 Median $13.18 Typical High $20.89 | Facility | None | $10.47 | $13.18 | $20.89 |
Well Sense Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | None | $12.30 | $12.30 | $14.79 |
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 $5.62 Median $5.62 Typical High $6.76 | Professional | 52 · Reduced service | $5.62 | $5.62 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.69 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.02 Median $15.49 Typical High $18.62 | Facility | QW · Waived lab test | $12.02 | $15.49 | $18.62 |
Where Massachusetts sits
The same service costs 4.2 times more in Kansas 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· 23rd of 51
$13.18
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.