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 $17.78 Median $35.48 Typical High $85.11 | Facility | None | $17.78 | $35.48 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $21.38 | Professional | None | $17.38 | $17.78 | $21.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $60.26 | Facility | None | $14.13 | $20.89 | $60.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $47.86 | Professional | None | $11.22 | $18.62 | $47.86 |
BCBS Setting Facility Modifier None Typical Low $26.30 Median $45.71 Typical High $79.43 | Facility | None | $26.30 | $45.71 | $79.43 |
BCBS Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $23.99 | Professional | None | $17.78 | $18.62 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $26.92 Typical High $48.98 | Facility | None | $12.30 | $26.92 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $22.91 Typical High $72.44 | Professional | None | $12.88 | $22.91 | $72.44 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $4,897.79 | Facility | None | $21.38 | $31.62 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | None | $26.92 | $26.92 | $31.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $72.44 | Professional | None | $9.33 | $18.62 | $72.44 |
Health New England Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $114.82 | Facility | None | $22.39 | $26.30 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $60.26 | Facility | None | $14.13 | $20.89 | $60.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $11.22 Median $18.62 Typical High $47.86 | Professional | None | $11.22 | $18.62 | $47.86 |
Tufts Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $30.20 | Professional | None | $16.60 | $19.50 | $30.20 |
United Setting Facility Modifier None Typical Low $16.98 Median $18.62 Typical High $22.39 | Facility | None | $16.98 | $18.62 | $22.39 |
United Setting Professional Modifier None Typical Low $7.59 Median $14.45 Typical High $39.81 | Professional | None | $7.59 | $14.45 | $39.81 |
Well Sense Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $33.11 | Facility | None | $16.60 | $20.89 | $33.11 |
Well Sense Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | None | $19.50 | $19.50 | $23.44 |
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 $8.91 Median $8.91 Typical High $10.72 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $4.27 | Professional | 53 · Discontinued | $3.55 | $3.55 | $4.27 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $18.62 Median $24.55 Typical High $28.84 | Facility | QW · Waived lab test | $18.62 | $24.55 | $28.84 |
Where Massachusetts sits
The same service costs 10.0 times more in Vermont than in Maryland. 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· 21st of 51
$20.89
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.