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 $24.55 Median $69.18 Typical High $114.82 | Facility | None | $24.55 | $69.18 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None | $24.55 | $24.55 | $29.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $81.28 | Facility | None | $19.50 | $28.18 | $81.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.23 Median $25.70 Typical High $64.57 | Professional | None | $10.23 | $25.70 | $64.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $36.31 Median $63.10 Typical High $109.65 | Facility | None | $36.31 | $63.10 | $109.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $33.11 | Professional | None | $23.99 | $25.12 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $37.15 Typical High $66.07 | Facility | None | $16.98 | $37.15 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $31.62 Typical High $100.00 | Professional | None | $17.78 | $31.62 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $43.65 Typical High $4,897.79 | Facility | None | $29.51 | $43.65 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | None | $37.15 | $37.15 | $43.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.23 Median $25.70 Typical High $100.00 | Professional | None | $10.23 | $25.70 | $100.00 |
Health New England Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $81.28 | Facility | None | $19.50 | $28.18 | $81.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.23 Median $25.70 Typical High $64.57 | Professional | None | $10.23 | $25.70 | $64.57 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $75.86 | Facility | None | $25.70 | $25.70 | $75.86 |
United Setting Professional Modifier None Typical Low $5.25 Median $15.49 Typical High $54.95 | Professional | None | $5.25 | $15.49 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $28.18 Typical High $44.67 | Facility | None | $22.91 | $28.18 | $44.67 |
Well Sense Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
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 $12.30 Median $12.30 Typical High $14.79 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.89 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $25.70 Median $33.88 Typical High $39.81 | Facility | QW · Waived lab test | $25.70 | $33.88 | $39.81 |
Where Massachusetts sits
The same service costs 4.0 times more in Kansas than in Alabama. 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· 18th of 51
$28.84
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.