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 $18.62 Median $52.48 Typical High $87.10 | Facility | None | $18.62 | $52.48 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $21.88 | Professional | None | $18.20 | $18.62 | $21.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.45 Median $21.38 Typical High $61.66 | Facility | None | $14.45 | $21.38 | $61.66 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.47 Median $19.50 Typical High $48.98 | Professional | None | $10.47 | $19.50 | $48.98 |
BCBS Setting Facility Modifier None Typical Low $27.54 Median $46.77 Typical High $83.18 | Facility | None | $27.54 | $46.77 | $83.18 |
BCBS Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $24.55 | Professional | None | $18.20 | $19.05 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $27.54 Typical High $50.12 | Facility | None | $12.88 | $27.54 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $23.44 Typical High $75.86 | Professional | None | $13.18 | $23.44 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $4,897.79 | Facility | None | $22.39 | $32.36 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | None | $27.54 | $27.54 | $32.36 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.77 Median $19.50 Typical High $75.86 | Professional | None | $9.77 | $19.50 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.45 Median $21.38 Typical High $61.66 | Facility | None | $14.45 | $21.38 | $61.66 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.47 Median $19.50 Typical High $48.98 | Professional | None | $10.47 | $19.50 | $48.98 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $60.26 | Facility | None | $19.50 | $19.50 | $60.26 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.75 Typical High $40.74 | Professional | None | $7.76 | $11.75 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $16.98 Median $21.38 Typical High $33.88 | Facility | None | $16.98 | $21.38 | $33.88 |
Well Sense Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | None | $20.42 | $20.42 | $24.55 |
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 $9.33 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.47 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $19.50 Median $25.12 Typical High $30.20 | Facility | QW · Waived lab test | $19.50 | $25.12 | $30.20 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 22nd 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.