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 $5.13 Median $14.79 Typical High $24.55 | Facility | None | $5.13 | $14.79 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $15.49 | Professional | None | $5.13 | $5.13 | $15.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $46.77 | Facility | None | $12.02 | $16.60 | $46.77 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.57 Median $14.13 Typical High $39.81 | Professional | None | $4.57 | $14.13 | $39.81 |
BCBS Setting Facility Modifier None Typical Low $7.08 Median $36.31 Typical High $52.48 | Facility | None | $7.08 | $36.31 | $52.48 |
BCBS Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $14.79 | Professional | None | $6.92 | $6.92 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $21.38 Typical High $38.90 | Facility | None | $10.47 | $21.38 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $19.50 Typical High $63.10 | Professional | None | $9.77 | $19.50 | $63.10 |
Fallon Health Setting Facility Modifier None Typical Low $9.77 Median $26.92 Typical High $4,897.79 | Facility | None | $9.77 | $26.92 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.57 Median $15.85 Typical High $57.54 | Professional | None | $4.57 | $15.85 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $46.77 | Facility | None | $12.02 | $16.60 | $46.77 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.57 Median $14.13 Typical High $39.81 | Professional | None | $4.57 | $14.13 | $39.81 |
United Setting Facility Modifier None Typical Low $14.45 Median $15.85 Typical High $19.05 | Facility | None | $14.45 | $15.85 | $19.05 |
United Setting Professional Modifier None Typical Low $3.16 Median $9.55 Typical High $33.11 | Professional | None | $3.16 | $9.55 | $33.11 |
Well Sense Setting Facility Modifier None Typical Low $5.62 Median $17.38 Typical High $27.54 | Facility | None | $5.62 | $17.38 | $27.54 |
Well Sense Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $6.76 | Professional | None | $5.62 | $5.62 | $6.76 |
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 $2.57 Median $2.57 Typical High $7.76 | Professional | 52 · Reduced service | $2.57 | $2.57 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $3.09 | Professional | 53 · Discontinued | $1.05 | $1.05 | $3.09 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $15.85 Median $20.89 Typical High $24.55 | Facility | QW · Waived lab test | $15.85 | $20.89 | $24.55 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 25th 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.