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 $13.18 Median $37.15 Typical High $61.66 | Facility | None | $13.18 | $37.15 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | None | $13.18 | $13.18 | $15.85 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $44.67 | Facility | None | $10.72 | $15.49 | $44.67 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $35.48 | Professional | None | $6.31 | $14.13 | $35.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.05 Median $34.67 Typical High $57.54 | Facility | None | $19.05 | $34.67 | $57.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $17.78 | Professional | None | $13.18 | $13.80 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $19.95 Typical High $36.31 | Facility | None | $9.33 | $19.95 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $17.38 Typical High $54.95 | Professional | None | $9.33 | $17.38 | $54.95 |
Fallon Health Setting Facility Modifier None Typical Low $19.95 Median $23.44 Typical High $4,897.79 | Facility | None | $19.95 | $23.44 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $53.70 | Professional | None | $6.31 | $14.13 | $53.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $44.67 | Facility | None | $10.72 | $15.49 | $44.67 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $35.48 | Professional | None | $6.31 | $14.13 | $35.48 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.13 Typical High $16.98 | Facility | None | $12.88 | $14.13 | $16.98 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $29.51 | Professional | None | $5.62 | $8.51 | $29.51 |
Well Sense Setting Facility Modifier None Typical Low $12.59 Median $15.49 Typical High $24.55 | Facility | None | $12.59 | $15.49 | $24.55 |
Well Sense Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | None | $14.45 | $14.45 | $17.38 |
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 $6.61 Median $6.61 Typical High $7.94 | Professional | 52 · Reduced service | $6.61 | $6.61 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $3.16 | Professional | 53 · Discontinued | $2.63 | $2.63 | $3.16 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.13 Median $18.62 Typical High $21.88 | Facility | QW · Waived lab test | $14.13 | $18.62 | $21.88 |
Where Massachusetts sits
The same service costs 3.0 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
$15.85
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.