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 $16.22 Median $32.36 Typical High $75.86 | Facility | None | $16.22 | $32.36 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | None | $16.22 | $16.22 | $19.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $54.95 | Facility | None | $12.88 | $18.62 | $54.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.92 Median $16.98 Typical High $43.65 | Professional | None | $6.92 | $16.98 | $43.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $24.55 Median $42.66 Typical High $74.13 | Facility | None | $24.55 | $42.66 | $74.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.22 Median $16.60 Typical High $21.88 | Professional | None | $16.22 | $16.60 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $24.55 Typical High $44.67 | Facility | None | $11.22 | $24.55 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $66.07 | Professional | None | $11.75 | $20.89 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $28.84 Typical High $4,897.79 | Facility | None | $24.55 | $28.84 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | None | $24.55 | $24.55 | $28.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.92 Median $16.98 Typical High $66.07 | Professional | None | $6.92 | $16.98 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $40.74 | Facility | None | $22.39 | $38.02 | $40.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $54.95 | Facility | None | $12.88 | $18.62 | $54.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.92 Median $16.98 Typical High $43.65 | Professional | None | $6.92 | $16.98 | $43.65 |
United Setting Facility Modifier None Typical Low $15.49 Median $16.98 Typical High $20.42 | Facility | None | $15.49 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $36.31 | Professional | None | $6.31 | $10.23 | $36.31 |
Well Sense Setting Facility Modifier None Typical Low $15.14 Median $19.05 Typical High $30.20 | Facility | None | $15.14 | $19.05 | $30.20 |
Well Sense Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
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 $8.13 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $22.39 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $22.39 | $26.30 |
Where Massachusetts sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 20th of 51
$19.50
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.