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 $25.12 Median $72.44 Typical High $120.23 | Facility | None | $25.12 | $72.44 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $30.20 | Professional | None | $25.12 | $25.12 | $30.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $85.11 | Facility | None | $19.95 | $29.51 | $85.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.72 Median $26.30 Typical High $67.61 | Professional | None | $10.72 | $26.30 | $67.61 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $114.82 | Facility | None | $38.02 | $64.57 | $114.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $33.88 | Professional | None | $25.12 | $26.30 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $38.02 Typical High $69.18 | Facility | None | $17.38 | $38.02 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $32.36 Typical High $102.33 | Professional | None | $18.20 | $32.36 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $38.02 Median $44.67 Typical High $4,897.79 | Facility | None | $38.02 | $44.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.72 Median $26.30 Typical High $102.33 | Professional | None | $10.72 | $26.30 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $85.11 | Facility | None | $19.95 | $29.51 | $85.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.72 Median $26.30 Typical High $67.61 | Professional | None | $10.72 | $26.30 | $67.61 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $104.71 | Facility | None | $26.30 | $26.30 | $104.71 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $56.23 | Professional | None | $9.33 | $15.85 | $56.23 |
Well Sense Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $46.77 | Facility | None | $23.44 | $29.51 | $46.77 |
Well Sense Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
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 $12.59 Median $12.59 Typical High $15.14 | Professional | 52 · Reduced service | $12.59 | $12.59 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $6.03 | Professional | 53 · Discontinued | $5.01 | $5.01 | $6.03 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.30 Median $34.67 Typical High $40.74 | Facility | QW · Waived lab test | $26.30 | $34.67 | $40.74 |
Where Massachusetts sits
The same service costs 3.6 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· 20th of 51
$30.20
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.