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 $27.54 Median $77.62 Typical High $128.82 | Facility | None | $27.54 | $77.62 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $91.20 | Facility | None | $21.38 | $31.62 | $91.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $72.44 | Professional | None | $17.38 | $28.84 | $72.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $56.23 Median $79.43 Typical High $114.82 | Facility | None | $56.23 | $79.43 | $114.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $37.15 | Professional | None | $26.92 | $28.18 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $41.69 Typical High $74.13 | Facility | None | $19.95 | $41.69 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $35.48 Typical High $112.20 | Professional | None | $19.95 | $35.48 | $112.20 |
Fallon Health Setting Facility Modifier None Typical Low $33.11 Median $47.86 Typical High $4,897.79 | Facility | None | $33.11 | $47.86 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None | $40.74 | $40.74 | $47.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.45 Median $28.84 Typical High $112.20 | Professional | None | $14.45 | $28.84 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $91.20 | Facility | None | $21.38 | $31.62 | $91.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $72.44 | Professional | None | $17.38 | $28.84 | $72.44 |
United Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $34.67 | Facility | None | $25.70 | $28.84 | $34.67 |
United Setting Professional Modifier None Typical Low $11.48 Median $22.39 Typical High $60.26 | Professional | None | $11.48 | $22.39 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $50.12 | Facility | None | $25.70 | $31.62 | $50.12 |
Well Sense Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | None | $30.20 | $30.20 | $36.31 |
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 $13.80 Median $13.80 Typical High $16.60 | Professional | 52 · Reduced service | $13.80 | $13.80 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.61 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $28.84 Median $37.15 Typical High $44.67 | Facility | QW · Waived lab test | $28.84 | $37.15 | $44.67 |
Where Massachusetts sits
The same service costs 5.5 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· 19th of 51
$31.62
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.