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 $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $128.82 | Facility | None | $32.36 | $45.71 | $128.82 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.14 Median $38.90 Typical High $112.20 | Professional | None | $15.14 | $38.90 | $112.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $87.10 Typical High $125.89 | Facility | None | $25.12 | $87.10 | $125.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $41.69 | Professional | None | $22.91 | $22.91 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $34.67 Typical High $70.79 | Facility | None | $19.95 | $34.67 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $52.48 Typical High $169.82 | Professional | None | $13.80 | $52.48 | $169.82 |
Fallon Health Setting Facility Modifier None Typical Low $26.30 Median $74.13 Typical High $4,897.79 | Facility | None | $26.30 | $74.13 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | None | $63.10 | $63.10 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.14 Median $43.65 Typical High $151.36 | Professional | None | $15.14 | $43.65 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $128.82 | Facility | None | $32.36 | $45.71 | $128.82 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.14 Median $38.90 Typical High $112.20 | Professional | None | $15.14 | $38.90 | $112.20 |
United Setting Facility Modifier None Typical Low $39.81 Median $43.65 Typical High $52.48 | Facility | None | $39.81 | $43.65 | $52.48 |
United Setting Professional Modifier None Typical Low $12.59 Median $25.12 Typical High $93.33 | Professional | None | $12.59 | $25.12 | $93.33 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $48.98 Typical High $77.62 | Facility | None | $19.05 | $48.98 | $77.62 |
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 $43.65 Median $57.54 Typical High $67.61 | Facility | QW · Waived lab test | $43.65 | $57.54 | $67.61 |
Where Massachusetts sits
The same service costs 5.6 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· 16th of 51
$43.65
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.