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 $12.02 Median $33.88 Typical High $56.23 | Facility | None | $12.02 | $33.88 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | None | $12.02 | $12.02 | $14.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $39.81 | Facility | None | $9.33 | $13.80 | $39.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $31.62 | Professional | None | $7.59 | $12.59 | $31.62 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.98 Median $30.90 Typical High $51.29 | Facility | None | $16.98 | $30.90 | $51.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $15.85 | Professional | None | $11.75 | $12.30 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $17.78 Typical High $32.36 | Facility | None | $8.32 | $17.78 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $15.14 Typical High $48.98 | Professional | None | $8.71 | $15.14 | $48.98 |
Fallon Health Setting Facility Modifier None Typical Low $16.98 Median $20.89 Typical High $4,897.79 | Facility | None | $16.98 | $20.89 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.31 Median $12.59 Typical High $48.98 | Professional | None | $6.31 | $12.59 | $48.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $39.81 | Facility | None | $9.33 | $13.80 | $39.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.59 Median $12.59 Typical High $31.62 | Professional | None | $7.59 | $12.59 | $31.62 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $44.67 | Facility | None | $12.59 | $12.59 | $44.67 |
United Setting Professional Modifier None Typical Low $5.01 Median $9.77 Typical High $26.30 | Professional | None | $5.01 | $9.77 | $26.30 |
Well Sense Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $21.88 | Facility | None | $10.96 | $13.80 | $21.88 |
Well Sense Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | None | $13.18 | $13.18 | $15.85 |
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 $6.03 Median $6.03 Typical High $7.08 | Professional | 52 · Reduced service | $6.03 | $6.03 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.88 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.88 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.59 Median $16.22 Typical High $19.50 | Facility | QW · Waived lab test | $12.59 | $16.22 | $19.50 |
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· 21st of 51
$14.13
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.