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 $17.38 Median $48.98 Typical High $81.28 | Facility | None | $17.38 | $48.98 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None | $17.38 | $17.38 | $20.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $66.07 | Facility | None | $16.60 | $23.44 | $66.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.59 Median $22.39 Typical High $56.23 | Professional | None | $12.59 | $22.39 | $56.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $44.67 Typical High $75.86 | Facility | None | $25.12 | $44.67 | $75.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $22.91 | Professional | None | $20.89 | $21.88 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $28.84 Typical High $46.77 | Facility | None | $14.45 | $28.84 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $87.10 | Professional | None | $11.22 | $14.13 | $87.10 |
Fallon Health Setting Facility Modifier None Typical Low $26.30 Median $37.15 Typical High $4,897.79 | Facility | None | $26.30 | $37.15 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None | $31.62 | $31.62 | $37.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.96 Median $22.39 Typical High $75.86 | Professional | None | $10.96 | $22.39 | $75.86 |
Health New England Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $41.69 | Facility | None | $16.22 | $26.30 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $66.07 | Facility | None | $16.60 | $23.44 | $66.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.59 Median $22.39 Typical High $56.23 | Professional | None | $12.59 | $22.39 | $56.23 |
United Setting Facility Modifier None Typical Low $19.95 Median $22.39 Typical High $26.30 | Facility | None | $19.95 | $22.39 | $26.30 |
United Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $46.77 | Professional | None | $8.91 | $13.18 | $46.77 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $24.55 Typical High $38.90 | Facility | None | $19.05 | $24.55 | $38.90 |
Well Sense Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None | $19.05 | $19.05 | $22.39 |
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 $8.71 Median $8.71 Typical High $10.23 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.07 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.07 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $22.39 Median $28.84 Typical High $34.67 | Facility | QW · Waived lab test | $22.39 | $28.84 | $34.67 |
Where Massachusetts sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 20th 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.