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 $7.76 Median $21.88 Typical High $36.31 | Facility | None | $7.76 | $21.88 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $9.33 | Professional | None | $7.76 | $7.76 | $9.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.08 Median $10.47 Typical High $28.84 | Facility | None | $7.08 | $10.47 | $28.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $9.55 Typical High $23.99 | Professional | None | $5.25 | $9.55 | $23.99 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $34.67 | Facility | None | $11.48 | $19.95 | $34.67 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $10.47 | Professional | None | $8.91 | $9.33 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.30 Typical High $21.88 | Facility | None | $6.31 | $12.30 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $11.48 Typical High $37.15 | Professional | None | $5.89 | $11.48 | $37.15 |
Fallon Health Setting Facility Modifier None Typical Low $9.33 Median $16.22 Typical High $4,897.79 | Facility | None | $9.33 | $16.22 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.79 Median $9.55 Typical High $33.11 | Professional | None | $4.79 | $9.55 | $33.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.08 Median $10.47 Typical High $28.84 | Facility | None | $7.08 | $10.47 | $28.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $9.55 Typical High $23.99 | Professional | None | $5.25 | $9.55 | $23.99 |
Tufts Setting Professional Modifier None Typical Low $8.32 Median $8.51 Typical High $15.14 | Professional | None | $8.32 | $8.51 | $15.14 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $22.39 | Facility | None | $9.55 | $9.55 | $22.39 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.75 Typical High $19.95 | Professional | None | $3.80 | $5.75 | $19.95 |
Well Sense Setting Facility Modifier None Typical Low $8.51 Median $10.47 Typical High $16.60 | Facility | None | $8.51 | $10.47 | $16.60 |
Well Sense Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.23 | Professional | None | $8.51 | $8.51 | $10.23 |
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 $3.89 Median $3.89 Typical High $4.68 | Professional | 52 · Reduced service | $3.89 | $3.89 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.86 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.86 |
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 3.3 times more in Kansas 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· 18th 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.