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 $2.04 Median $5.89 Typical High $9.77 | Facility | None | $2.04 | $5.89 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.02 | Professional | None | $2.04 | $2.04 | $3.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1.62 Median $2.40 Typical High $6.92 | Facility | None | $1.62 | $2.40 | $6.92 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1.38 Median $2.19 Typical High $5.50 | Professional | None | $1.38 | $2.19 | $5.50 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.09 Median $5.01 Typical High $9.33 | Facility | None | $3.09 | $5.01 | $9.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2.04 Median $2.14 Typical High $2.75 | Professional | None | $2.04 | $2.14 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $1.45 Median $3.09 Typical High $5.62 | Facility | None | $1.45 | $3.09 | $5.62 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $2.45 Typical High $8.91 | Professional | None | $1.48 | $2.45 | $8.91 |
Fallon Health Setting Facility Modifier None Typical Low $2.82 Median $3.39 Typical High $4,897.79 | Facility | None | $2.82 | $3.39 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $3.39 | Professional | None | $2.88 | $2.88 | $3.39 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $8.32 | Professional | None | $1.29 | $2.19 | $8.32 |
Health New England Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Facility | None | $2.82 | $2.82 | $2.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $1.62 Median $2.40 Typical High $6.92 | Facility | None | $1.62 | $2.40 | $6.92 |
Mass General Brigham Setting Professional Modifier None Typical Low $1.38 Median $2.19 Typical High $5.50 | Professional | None | $1.38 | $2.19 | $5.50 |
Tufts Setting Professional Modifier None Typical Low $1.91 Median $2.24 Typical High $3.47 | Professional | None | $1.91 | $2.24 | $3.47 |
United Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $6.03 | Facility | None | $2.19 | $2.19 | $6.03 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.19 Typical High $4.57 | Professional | None | $1.29 | $2.19 | $4.57 |
Well Sense Setting Facility Modifier None Typical Low $1.91 Median $2.40 Typical High $3.80 | Facility | None | $1.91 | $2.40 | $3.80 |
Well Sense Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.69 | Professional | None | $2.24 | $2.24 | $2.69 |
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 $1.05 Median $1.05 Typical High $1.23 | Professional | 52 · Reduced service | $1.05 | $1.05 | $1.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $0.49 | Professional | 53 · Discontinued | $0.41 | $0.41 | $0.49 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2.19 Median $2.82 Typical High $3.39 | Facility | QW · Waived lab test | $2.19 | $2.82 | $3.39 |
Where Massachusetts sits
The same service costs 3.2 times more in Kansas 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· 22nd of 51
$2.51
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.