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 $2.45 Median $6.03 Typical High $10.96 | Facility | None | $2.45 | $6.03 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $5.62 | Professional | None | $2.45 | $2.45 | $5.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.57 Median $3.63 Typical High $10.23 | Facility | None | $2.57 | $3.63 | $10.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $3.47 Typical High $8.71 | Professional | None | $2.09 | $3.47 | $8.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.63 Median $7.08 Typical High $10.96 | Facility | None | $3.63 | $7.08 | $10.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | None | $3.24 | $3.24 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $4.27 Typical High $7.41 | Facility | None | $2.29 | $4.27 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $4.07 Typical High $14.13 | Professional | None | $1.95 | $4.07 | $14.13 |
Fallon Health Setting Facility Modifier None Typical Low $3.24 Median $5.62 Typical High $4,897.79 | Facility | None | $3.24 | $5.62 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | None | $4.79 | $4.79 | $5.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.09 Median $3.47 Typical High $12.02 | Professional | None | $2.09 | $3.47 | $12.02 |
Health New England Setting Facility Modifier None Typical Low $3.55 Median $4.57 Typical High $165.96 | Facility | None | $3.55 | $4.57 | $165.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.57 Median $3.63 Typical High $10.23 | Facility | None | $2.57 | $3.63 | $10.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $3.47 Typical High $8.71 | Professional | None | $2.09 | $3.47 | $8.71 |
Tufts Setting Facility Modifier None Typical Low $2.82 Median $3.98 Typical High $7.76 | Facility | None | $2.82 | $3.98 | $7.76 |
United Setting Facility Modifier None Typical Low $3.16 Median $3.47 Typical High $4.17 | Facility | None | $3.16 | $3.47 | $4.17 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.47 Typical High $7.24 | Professional | None | $2.09 | $3.47 | $7.24 |
Well Sense Setting Facility Modifier None Typical Low $2.69 Median $3.80 Typical High $6.03 | Facility | None | $2.69 | $3.80 | $6.03 |
Well Sense Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.24 | Professional | None | $2.69 | $2.69 | $3.24 |
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 $1.23 Median $1.23 Typical High $1.45 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.58 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.58 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.47 Median $4.47 Typical High $5.37 | Facility | QW · Waived lab test | $3.47 | $4.47 | $5.37 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 21st of 51
$3.55
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.