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 $5.50 Typical High $13.49 | Facility | None | $3.02 | $5.50 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.02 Typical High $5.50 | Professional | None | $2.88 | $3.02 | $5.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.40 Median $3.47 Typical High $10.00 | Facility | None | $2.40 | $3.47 | $10.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.04 Median $3.16 Typical High $7.94 | Professional | None | $2.04 | $3.16 | $7.94 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4.37 Median $7.94 Typical High $13.18 | Facility | None | $4.37 | $7.94 | $13.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $3.98 | Professional | None | $2.95 | $3.09 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $4.57 Typical High $8.13 | Facility | None | $2.19 | $4.57 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $2.34 Median $3.72 Typical High $12.88 | Professional | None | $2.34 | $3.72 | $12.88 |
Fallon Health Setting Facility Modifier None Typical Low $4.27 Median $5.13 Typical High $4,897.79 | Facility | None | $4.27 | $5.13 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | None | $4.27 | $4.27 | $5.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.91 Median $3.16 Typical High $12.30 | Professional | None | $1.91 | $3.16 | $12.30 |
Health New England Setting Facility Modifier None Typical Low $3.72 Median $4.37 Typical High $60.26 | Facility | None | $3.72 | $4.37 | $60.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.40 Median $3.47 Typical High $10.00 | Facility | None | $2.40 | $3.47 | $10.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.04 Median $3.16 Typical High $7.94 | Professional | None | $2.04 | $3.16 | $7.94 |
Tufts Setting Facility Modifier None Typical Low $2.82 Median $3.55 Typical High $6.17 | Facility | None | $2.82 | $3.55 | $6.17 |
Tufts Setting Professional Modifier None Typical Low $2.82 Median $3.24 Typical High $5.13 | Professional | None | $2.82 | $3.24 | $5.13 |
United Setting Facility Modifier None Typical Low $1.12 Median $3.16 Typical High $3.16 | Facility | None | $1.12 | $3.16 | $3.16 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.16 Typical High $6.61 | Professional | None | $1.91 | $3.16 | $6.61 |
Well Sense Setting Facility Modifier None Typical Low $2.82 Median $3.47 Typical High $5.50 | Facility | None | $2.82 | $3.47 | $5.50 |
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 $3.16 Median $4.07 Typical High $4.90 | Facility | QW · Waived lab test | $3.16 | $4.07 | $4.90 |
Where Massachusetts sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 20th of 51
$3.80
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.