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 $4.37 Median $12.30 Typical High $20.42 | Facility | None | $4.37 | $12.30 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $9.12 | Professional | None | $4.37 | $4.37 | $9.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.57 Median $6.61 Typical High $18.20 | Facility | None | $4.57 | $6.61 | $18.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $15.85 | Professional | None | $3.72 | $6.17 | $15.85 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $5.50 Median $6.17 Typical High $15.14 | Professional | QW · Waived lab test | $5.50 | $6.17 | $15.14 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.31 Median $12.30 Typical High $19.05 | Facility | None | $6.31 | $12.30 | $19.05 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $7.59 Typical High $13.18 | Facility | None | $4.07 | $7.59 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $7.08 Typical High $23.99 | Professional | None | $3.55 | $7.08 | $23.99 |
Fallon Health Setting Facility Modifier None Typical Low $6.31 Median $8.71 Typical High $56.23 | Facility | None | $6.31 | $8.71 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $6.17 Median $8.13 Typical High $9.55 | Facility | QW · Waived lab test | $6.17 | $8.13 | $9.55 |
Fallon Health Setting Professional Modifier None Typical Low $6.92 Median $9.12 Typical High $10.72 | Professional | None | $6.92 | $9.12 | $10.72 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $21.38 | Professional | None | $3.72 | $6.17 | $21.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.57 Median $6.61 Typical High $18.20 | Facility | None | $4.57 | $6.61 | $18.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $15.85 | Professional | None | $3.72 | $6.17 | $15.85 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $5.50 Median $6.17 Typical High $15.14 | Professional | QW · Waived lab test | $5.50 | $6.17 | $15.14 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.17 Typical High $7.41 | Facility | None | $5.62 | $6.17 | $7.41 |
United Setting Professional Modifier None Typical Low $2.09 Median $6.17 Typical High $13.18 | Professional | None | $2.09 | $6.17 | $13.18 |
Well Sense Setting Facility Modifier None Typical Low $4.79 Median $6.92 Typical High $10.96 | Facility | None | $4.79 | $6.92 | $10.96 |
Well Sense Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.75 | Professional | None | $4.79 | $4.79 | $5.75 |
2 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 $2.19 Median $2.19 Typical High $2.63 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $1.05 | Professional | 53 · Discontinued | $0.87 | $0.87 | $1.05 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska 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
$6.92
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.