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 $19.50 | Professional | None | $10.23 | $10.23 | $19.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $41.69 | Facility | None | $10.47 | $15.14 | $41.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.62 Median $14.13 Typical High $35.48 | Professional | None | $5.62 | $14.13 | $35.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $14.13 Median $34.67 Typical High $48.98 | Facility | None | $14.13 | $34.67 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $13.80 | Professional | None | $13.18 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $36.31 | Facility | None | $9.33 | $20.42 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $54.95 | Professional | None | $8.51 | $11.22 | $54.95 |
Fallon Health Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $4,897.79 | Facility | None | $15.49 | $23.44 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.62 Median $14.13 Typical High $53.70 | Professional | None | $5.62 | $14.13 | $53.70 |
Health New England Setting Facility Modifier None Typical Low $14.13 Median $24.55 Typical High $165.96 | Facility | None | $14.13 | $24.55 | $165.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.47 Median $15.14 Typical High $41.69 | Facility | None | $10.47 | $15.14 | $41.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.62 Median $14.13 Typical High $35.48 | Professional | None | $5.62 | $14.13 | $35.48 |
United Setting Facility Modifier None Typical Low $12.59 Median $14.13 Typical High $16.98 | Facility | None | $12.59 | $14.13 | $16.98 |
United Setting Professional Modifier None Typical Low $3.16 Median $8.51 Typical High $29.51 | Professional | None | $3.16 | $8.51 | $29.51 |
Well Sense Setting Facility Modifier None Typical Low $11.22 Median $15.49 Typical High $24.55 | Facility | None | $11.22 | $15.49 | $24.55 |
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 $7.41 | Professional | 52 · Reduced service | $5.13 | $5.13 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.95 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.13 Median $18.20 Typical High $21.88 | Facility | QW · Waived lab test | $14.13 | $18.20 | $21.88 |
Where Massachusetts sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 26th of 51
$14.79
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.