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 $8.91 Median $18.20 Typical High $39.81 | Facility | None | $8.91 | $18.20 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $13.18 | Professional | None | $8.91 | $8.91 | $13.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.08 Median $10.47 Typical High $30.20 | Facility | None | $7.08 | $10.47 | $30.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.80 Median $9.55 Typical High $23.99 | Professional | None | $3.80 | $9.55 | $23.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $13.49 Median $22.91 Typical High $40.74 | Facility | None | $13.49 | $22.91 | $40.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $12.02 | Professional | None | $8.91 | $9.33 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $13.49 Typical High $25.12 | Facility | None | $6.17 | $13.49 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $11.48 Typical High $37.15 | Professional | None | $6.46 | $11.48 | $37.15 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $4,897.79 | Facility | None | $10.72 | $15.85 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | None | $13.49 | $13.49 | $15.85 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.80 Median $9.55 Typical High $36.31 | Professional | None | $3.80 | $9.55 | $36.31 |
Health New England Setting Facility Modifier None Typical Low $8.51 Median $12.30 Typical High $12.88 | Facility | None | $8.51 | $12.30 | $12.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.08 Median $10.47 Typical High $30.20 | Facility | None | $7.08 | $10.47 | $30.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.80 Median $9.55 Typical High $23.99 | Professional | None | $3.80 | $9.55 | $23.99 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $23.99 | Facility | None | $9.55 | $9.55 | $23.99 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.62 Typical High $19.95 | Professional | None | $3.16 | $5.62 | $19.95 |
Well Sense Setting Facility Modifier None Typical Low $8.32 Median $10.47 Typical High $16.60 | Facility | None | $8.32 | $10.47 | $16.60 |
Well Sense Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $11.75 | Professional | None | $9.77 | $9.77 | $11.75 |
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 $4.47 Median $4.47 Typical High $5.37 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.14 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.14 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $9.55 Median $12.30 Typical High $14.79 | Facility | QW · Waived lab test | $9.55 | $12.30 | $14.79 |
Where Massachusetts sits
The same service costs 3.2 times more in Kansas than in Alabama. 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
$10.47
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.