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 $3.02 Median $8.71 Typical High $15.49 | Facility | None | $3.02 | $8.71 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $6.46 | Professional | None | $3.02 | $3.02 | $6.46 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.95 Median $4.27 Typical High $11.75 | Facility | None | $2.95 | $4.27 | $11.75 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $10.23 | Professional | None | $2.40 | $3.98 | $10.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4.47 Median $7.94 Typical High $13.49 | Facility | None | $4.47 | $7.94 | $13.49 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.80 Median $3.98 Typical High $4.07 | Professional | None | $3.80 | $3.98 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $5.01 Typical High $8.51 | Facility | None | $2.63 | $5.01 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $4.57 Typical High $15.14 | Professional | None | $2.45 | $4.57 | $15.14 |
Fallon Health Setting Facility Modifier None Typical Low $4.57 Median $6.76 Typical High $4,897.79 | Facility | None | $4.57 | $6.76 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | None | $5.75 | $5.75 | $6.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $13.80 | Professional | None | $2.40 | $3.98 | $13.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.95 Median $4.27 Typical High $11.75 | Facility | None | $2.95 | $4.27 | $11.75 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $10.23 | Professional | None | $2.40 | $3.98 | $10.23 |
United Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $8.91 | Facility | None | $3.98 | $3.98 | $8.91 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $8.51 | Professional | None | $2.40 | $3.98 | $8.51 |
Well Sense Setting Facility Modifier None Typical Low $3.31 Median $4.47 Typical High $7.08 | Facility | None | $3.31 | $4.47 | $7.08 |
Well Sense Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.98 | Professional | None | $3.31 | $3.31 | $3.98 |
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 $1.51 Median $1.51 Typical High $1.82 | Professional | 52 · Reduced service | $1.51 | $1.51 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.60 Median $0.60 Typical High $0.72 | Professional | 53 · Discontinued | $0.60 | $0.60 | $0.72 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.98 Median $5.25 Typical High $6.17 | Facility | QW · Waived lab test | $3.98 | $5.25 | $6.17 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 19th of 51
$4.37
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.