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 $11.75 Median $23.44 Typical High $52.48 | Facility | None | $11.75 | $23.44 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $12.88 | Professional | None | $11.22 | $11.75 | $12.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $38.90 | Facility | None | $9.33 | $13.49 | $38.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.90 Median $12.30 Typical High $30.90 | Professional | None | $4.90 | $12.30 | $30.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $52.48 | Facility | None | $17.38 | $30.20 | $52.48 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $15.85 | Professional | None | $11.48 | $12.02 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.78 Typical High $31.62 | Facility | None | $8.13 | $17.78 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $14.79 Typical High $48.98 | Professional | None | $8.51 | $14.79 | $48.98 |
Fallon Health Setting Facility Modifier None Typical Low $17.78 Median $20.89 Typical High $4,897.79 | Facility | None | $17.78 | $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 $4.90 Median $12.30 Typical High $47.86 | Professional | None | $4.90 | $12.30 | $47.86 |
Health New England Setting Facility Modifier None Typical Low $14.45 Median $16.98 Typical High $63.10 | Facility | None | $14.45 | $16.98 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $38.90 | Facility | None | $9.33 | $13.49 | $38.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.90 Median $12.30 Typical High $30.90 | Professional | None | $4.90 | $12.30 | $30.90 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $36.31 | Facility | None | $12.30 | $12.30 | $36.31 |
United Setting Professional Modifier None Typical Low $4.17 Median $7.41 Typical High $26.30 | Professional | None | $4.17 | $7.41 | $26.30 |
Well Sense Setting Facility Modifier None Typical Low $10.96 Median $13.49 Typical High $21.38 | Facility | None | $10.96 | $13.49 | $21.38 |
Well Sense Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | None | $12.88 | $12.88 | $15.49 |
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 $5.89 Median $5.89 Typical High $6.46 | Professional | 52 · Reduced service | $5.89 | $5.89 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.57 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.57 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.30 Median $15.85 Typical High $19.05 | Facility | QW · Waived lab test | $12.30 | $15.85 | $19.05 |
Where Massachusetts sits
The same service costs 5.6 times more in Alaska than in Georgia. 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
$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.