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 $7.24 Median $20.42 Typical High $33.88 | Facility | None | $7.24 | $20.42 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $12.30 | Professional | None | $7.24 | $7.24 | $12.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $34.67 | Facility | None | $8.91 | $12.88 | $34.67 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $11.75 Typical High $30.20 | Professional | None | $5.25 | $11.75 | $30.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.00 Median $29.51 Typical High $42.66 | Facility | None | $10.00 | $29.51 | $42.66 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $11.22 | Professional | None | $9.77 | $9.77 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $30.90 | Facility | None | $7.76 | $16.98 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $45.71 | Professional | None | $8.13 | $14.45 | $45.71 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $20.42 Typical High $4,897.79 | Facility | None | $10.96 | $20.42 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $11.75 Typical High $45.71 | Professional | None | $5.25 | $11.75 | $45.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $34.67 | Facility | None | $8.91 | $12.88 | $34.67 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $11.75 Typical High $30.20 | Professional | None | $5.25 | $11.75 | $30.20 |
United Setting Facility Modifier None Typical Low $10.72 Median $11.75 Typical High $14.13 | Facility | None | $10.72 | $11.75 | $14.13 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.08 Typical High $25.12 | Professional | None | $4.79 | $7.08 | $25.12 |
Well Sense Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $20.89 | Facility | None | $7.94 | $13.18 | $20.89 |
Well Sense Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $9.55 | Professional | None | $7.94 | $7.94 | $9.55 |
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 $3.63 Median $3.63 Typical High $6.17 | Professional | 52 · Reduced service | $3.63 | $3.63 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $2.45 | Professional | 53 · Discontinued | $1.45 | $1.45 | $2.45 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.75 Median $15.49 Typical High $18.20 | Facility | QW · Waived lab test | $11.75 | $15.49 | $18.20 |
Where Massachusetts sits
The same service costs 4.1 times more in Kansas than in Oklahoma. 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· 23rd of 51
$12.02
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.