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 $10.23 Median $28.84 Typical High $47.86 | Facility | None | $10.23 | $28.84 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $17.38 | Professional | None | $10.23 | $10.23 | $17.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.59 Median $18.20 Typical High $48.98 | Facility | None | $12.59 | $18.20 | $48.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $42.66 | Professional | None | $8.91 | $16.98 | $42.66 |
BCBS Setting Facility Modifier None Typical Low $14.79 Median $41.69 Typical High $60.26 | Facility | None | $14.79 | $41.69 | $60.26 |
BCBS Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $15.85 | Professional | None | $13.80 | $13.80 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $23.99 Typical High $43.65 | Facility | None | $10.96 | $23.99 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $66.07 | Professional | None | $11.48 | $20.42 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $15.49 Median $28.84 Typical High $4,897.79 | Facility | None | $15.49 | $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 $8.51 Median $16.98 Typical High $64.57 | Professional | None | $8.51 | $16.98 | $64.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.59 Median $18.20 Typical High $48.98 | Facility | None | $12.59 | $18.20 | $48.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $42.66 | Professional | None | $8.91 | $16.98 | $42.66 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.42 | Facility | None | $15.14 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $35.48 | Professional | None | $6.76 | $10.00 | $35.48 |
Well Sense Setting Facility Modifier None Typical Low $11.22 Median $18.62 Typical High $29.51 | Facility | None | $11.22 | $18.62 | $29.51 |
Well Sense Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.49 | Professional | None | $11.22 | $11.22 | $13.49 |
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 $5.13 Median $5.13 Typical High $8.71 | Professional | 52 · Reduced service | $5.13 | $5.13 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $3.55 | Professional | 53 · Discontinued | $2.04 | $2.04 | $3.55 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $21.88 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $21.88 | $26.30 |
Where Massachusetts sits
The same service costs 18.6 times more in Kansas 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· 21st of 51
$17.78
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.