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 $22.39 Median $63.10 Typical High $104.71 | Facility | None | $22.39 | $63.10 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | None | $22.39 | $22.39 | $26.92 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $79.43 | Facility | None | $19.50 | $28.84 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.47 Median $26.30 Typical High $66.07 | Professional | None | $10.47 | $26.30 | $66.07 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $100.00 | Facility | None | $33.11 | $57.54 | $100.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $30.20 | Professional | None | $24.55 | $25.70 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $61.66 | Facility | None | $17.38 | $35.48 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $102.33 | Professional | None | $16.22 | $31.62 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $44.67 Typical High $4,897.79 | Facility | None | $26.92 | $44.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.47 Median $26.30 Typical High $91.20 | Professional | None | $10.47 | $26.30 | $91.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $79.43 | Facility | None | $19.50 | $28.84 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.47 Median $26.30 Typical High $66.07 | Professional | None | $10.47 | $26.30 | $66.07 |
United Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $31.62 | Facility | None | $23.44 | $26.30 | $31.62 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $54.95 | Professional | None | $9.33 | $15.85 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $45.71 | Facility | None | $22.91 | $28.84 | $45.71 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None | $24.55 | $24.55 | $29.51 |
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 $11.22 Median $11.22 Typical High $13.49 | Professional | 52 · Reduced service | $11.22 | $11.22 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $5.37 | Professional | 53 · Discontinued | $4.47 | $4.47 | $5.37 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.30 Median $33.88 Typical High $40.74 | Facility | QW · Waived lab test | $26.30 | $33.88 | $40.74 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Texas. 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
$28.84
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.