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 $50.12 Typical High $83.18 | Facility | None | $17.78 | $50.12 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $27.54 | Professional | None | $17.78 | $17.78 | $27.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $70.79 | Facility | None | $18.20 | $26.30 | $70.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $61.66 | Professional | None | $14.45 | $23.99 | $61.66 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $24.55 Median $58.88 Typical High $85.11 | Facility | None | $24.55 | $58.88 | $85.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $23.99 | Professional | None | $22.91 | $23.44 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $63.10 | Facility | None | $15.85 | $34.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $93.33 | Professional | None | $15.14 | $19.05 | $93.33 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $40.74 Typical High $4,897.79 | Facility | None | $21.38 | $40.74 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.02 Median $23.99 Typical High $93.33 | Professional | None | $12.02 | $23.99 | $93.33 |
Health New England Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $40.74 | Facility | None | $21.88 | $23.99 | $40.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $70.79 | Facility | None | $18.20 | $26.30 | $70.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $61.66 | Professional | None | $14.45 | $23.99 | $61.66 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $104.71 | Facility | None | $23.99 | $23.99 | $104.71 |
United Setting Professional Modifier None Typical Low $9.77 Median $14.79 Typical High $51.29 | Professional | None | $9.77 | $14.79 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $19.50 Median $26.92 Typical High $42.66 | Facility | None | $19.50 | $26.92 | $42.66 |
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 $13.80 | Professional | 52 · Reduced service | $8.91 | $8.91 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $5.50 | Professional | 53 · Discontinued | $3.55 | $3.55 | $5.50 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $23.99 Median $31.62 Typical High $37.15 | Facility | QW · Waived lab test | $23.99 | $31.62 | $37.15 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska 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· 23rd of 51
$24.55
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.