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 $19.95 Median $56.23 Typical High $93.33 | Facility | None | $19.95 | $56.23 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $66.07 | Facility | None | $13.49 | $19.95 | $66.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.24 Median $18.20 Typical High $45.71 | Professional | None | $7.24 | $18.20 | $45.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $29.51 Median $44.67 Typical High $89.13 | Facility | None | $29.51 | $44.67 | $89.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $26.92 | Professional | None | $16.98 | $17.78 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $27.54 Typical High $53.70 | Facility | None | $11.75 | $27.54 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $70.79 | Professional | None | $14.13 | $21.88 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $30.20 Typical High $4,897.79 | Facility | None | $25.70 | $30.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.24 Median $18.20 Typical High $74.13 | Professional | None | $7.24 | $18.20 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $66.07 | Facility | None | $13.49 | $19.95 | $66.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.24 Median $18.20 Typical High $45.71 | Professional | None | $7.24 | $18.20 | $45.71 |
United Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $21.88 | Facility | None | $16.22 | $18.20 | $21.88 |
United Setting Professional Modifier None Typical Low $3.16 Median $10.96 Typical High $43.65 | Professional | None | $3.16 | $10.96 | $43.65 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $21.88 Typical High $31.62 | Facility | None | $15.85 | $21.88 | $31.62 |
Well Sense Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
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 $10.00 Median $10.00 Typical High $11.75 | Professional | 52 · Reduced service | $10.00 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $18.20 Median $23.44 Typical High $28.18 | Facility | QW · Waived lab test | $18.20 | $23.44 | $28.18 |
Where Massachusetts sits
The same service costs 4.7 times more in Kansas than in Texas. 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· 18th of 51
$21.38
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.