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 $14.79 Median $37.15 Typical High $69.18 | Facility | None | $14.79 | $37.15 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $29.51 | Professional | None | $14.79 | $14.79 | $29.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $61.66 | Facility | None | $15.49 | $19.95 | $61.66 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.51 Median $20.89 Typical High $53.70 | Professional | None | $8.51 | $20.89 | $53.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.88 Median $47.86 Typical High $67.61 | Facility | None | $33.88 | $47.86 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $44.67 | Facility | None | $13.80 | $25.70 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $25.70 Typical High $81.28 | Professional | None | $12.02 | $25.70 | $81.28 |
Fallon Health Setting Facility Modifier None Typical Low $22.39 Median $35.48 Typical High $4,897.79 | Facility | None | $22.39 | $35.48 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None | $30.20 | $30.20 | $35.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.51 Median $20.89 Typical High $72.44 | Professional | None | $8.51 | $20.89 | $72.44 |
Health New England Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $95.50 | Facility | None | $20.42 | $33.88 | $95.50 |
Mass General Brigham Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $61.66 | Facility | None | $15.49 | $19.95 | $61.66 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.51 Median $20.89 Typical High $53.70 | Professional | None | $8.51 | $20.89 | $53.70 |
Tufts Setting Facility Modifier None Typical Low $17.38 Median $22.39 Typical High $36.31 | Facility | None | $17.38 | $22.39 | $36.31 |
Tufts Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $33.88 | Professional | None | $15.85 | $18.62 | $33.88 |
United Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $25.12 | Facility | None | $19.05 | $20.89 | $25.12 |
United Setting Professional Modifier None Typical Low $4.17 Median $12.59 Typical High $44.67 | Professional | None | $4.17 | $12.59 | $44.67 |
Well Sense Setting Facility Modifier None Typical Low $16.22 Median $23.44 Typical High $37.15 | Facility | None | $16.22 | $23.44 | $37.15 |
Well Sense Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | None | $16.22 | $16.22 | $19.50 |
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 $7.41 Median $7.41 Typical High $8.91 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.55 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.55 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.89 Median $27.54 Typical High $32.36 | Facility | QW · Waived lab test | $20.89 | $27.54 | $32.36 |
Where Massachusetts sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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
$21.88
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.