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 $23.99 Median $47.86 Typical High $112.20 | Facility | None | $23.99 | $47.86 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | None | $23.99 | $23.99 | $28.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $81.28 | Facility | None | $19.05 | $27.54 | $81.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.14 Median $25.12 Typical High $63.10 | Professional | None | $15.14 | $25.12 | $63.10 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $35.48 Median $61.66 Typical High $107.15 | Facility | None | $35.48 | $61.66 | $107.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $32.36 | Professional | None | $23.99 | $24.55 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $66.07 | Facility | None | $16.60 | $36.31 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $30.90 Typical High $97.72 | Professional | None | $17.38 | $30.90 | $97.72 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $4,897.79 | Facility | None | $36.31 | $42.66 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.59 Median $25.12 Typical High $97.72 | Professional | None | $12.59 | $25.12 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $31.62 Median $58.88 Typical High $102.33 | Facility | None | $31.62 | $58.88 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $81.28 | Facility | None | $19.05 | $27.54 | $81.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.14 Median $25.12 Typical High $63.10 | Professional | None | $15.14 | $25.12 | $63.10 |
Tufts Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $40.74 | Professional | None | $22.39 | $26.30 | $40.74 |
United Setting Facility Modifier None Typical Low $22.91 Median $25.12 Typical High $30.20 | Facility | None | $22.91 | $25.12 | $30.20 |
United Setting Professional Modifier None Typical Low $10.00 Median $19.50 Typical High $53.70 | Professional | None | $10.00 | $19.50 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $22.39 Median $27.54 Typical High $43.65 | Facility | None | $22.39 | $27.54 | $43.65 |
Well Sense Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $31.62 | Professional | None | $26.30 | $26.30 | $31.62 |
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 $12.02 Median $12.02 Typical High $14.45 | Professional | 52 · Reduced service | $12.02 | $12.02 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.75 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $25.12 Median $33.11 Typical High $38.90 | Facility | QW · Waived lab test | $25.12 | $33.11 | $38.90 |
Where Massachusetts sits
The same service costs 15.8 times more in Vermont 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· 19th of 51
$28.18
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.