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 $11.22 Median $22.39 Typical High $50.12 | Facility | None | $11.22 | $22.39 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.49 | Professional | None | $11.22 | $11.22 | $15.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.02 Median $16.98 Typical High $50.12 | Facility | None | $12.02 | $16.98 | $50.12 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.32 Median $15.85 Typical High $44.67 | Professional | None | $8.32 | $15.85 | $44.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.60 Median $35.48 Typical High $51.29 | Facility | None | $16.60 | $35.48 | $51.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $16.98 | Professional | None | $15.14 | $16.22 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $19.95 Typical High $30.20 | Facility | None | $11.22 | $19.95 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $20.89 Typical High $66.07 | Professional | None | $10.00 | $20.89 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $28.84 Typical High $5,888.44 | Facility | None | $24.55 | $28.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | None | $24.55 | $24.55 | $28.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.32 Median $16.98 Typical High $58.88 | Professional | None | $8.32 | $16.98 | $58.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.02 Median $16.98 Typical High $50.12 | Facility | None | $12.02 | $16.98 | $50.12 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.32 Median $15.85 Typical High $44.67 | Professional | None | $8.32 | $15.85 | $44.67 |
United Setting Facility Modifier None Typical Low $15.49 Median $16.98 Typical High $20.42 | Facility | None | $15.49 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $36.31 | Professional | None | $6.92 | $10.23 | $36.31 |
Well Sense Setting Facility Modifier None Typical Low $12.02 Median $14.79 Typical High $23.44 | Facility | None | $12.02 | $14.79 | $23.44 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
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 $7.41 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.95 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $22.39 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $22.39 | $26.30 |
Where Massachusetts sits
The same service costs 9.5 times more in Minnesota than in Kentucky. 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
$16.98
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.