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 $16.22 Median $32.36 Typical High $72.44 | Facility | None | $16.22 | $32.36 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $18.62 | Professional | None | $16.22 | $16.22 | $18.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $72.44 | Facility | None | $17.38 | $31.62 | $72.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.80 Median $22.91 Typical High $58.88 | Professional | None | $13.80 | $22.91 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $16.60 Typical High $37.15 | Facility | None | $15.14 | $16.60 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $89.13 | Professional | None | $13.80 | $13.80 | $89.13 |
Fallon Health Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $5,888.44 | Facility | None | $33.11 | $38.90 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None | $33.11 | $33.11 | $38.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.96 Median $22.91 Typical High $66.07 | Professional | None | $10.96 | $22.91 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $28.18 Median $154.88 Typical High $223.87 | Facility | None | $28.18 | $154.88 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $17.38 Median $31.62 Typical High $72.44 | Facility | None | $17.38 | $31.62 | $72.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.80 Median $22.91 Typical High $58.88 | Professional | None | $13.80 | $22.91 | $58.88 |
Tufts Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $37.15 | Professional | None | $16.98 | $20.42 | $37.15 |
United Setting Facility Modifier None Typical Low $20.89 Median $22.91 Typical High $27.54 | Facility | None | $20.89 | $22.91 | $27.54 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $47.86 | Professional | None | $9.12 | $13.80 | $47.86 |
Well Sense Setting Facility Modifier None Typical Low $20.42 Median $25.12 Typical High $39.81 | Facility | None | $20.42 | $25.12 | $39.81 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $7.94 Median $7.94 Typical High $8.51 | Professional | 52 · Reduced service | $7.94 | $7.94 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.39 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $22.91 Median $30.20 Typical High $35.48 | Facility | QW · Waived lab test | $22.91 | $30.20 | $35.48 |
Where Massachusetts sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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
$22.91
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.