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 $14.79 Median $30.90 Typical High $70.79 | Facility | None | $14.79 | $30.90 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $22.91 | Professional | None | $14.79 | $14.79 | $22.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.18 Median $19.50 Typical High $53.70 | Facility | None | $13.18 | $19.50 | $53.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.08 Median $17.78 Typical High $44.67 | Professional | None | $7.08 | $17.78 | $44.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20.42 Median $42.66 Typical High $61.66 | Facility | None | $20.42 | $42.66 | $61.66 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $19.95 | Professional | None | $16.60 | $17.38 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $24.55 Typical High $44.67 | Facility | None | $11.48 | $24.55 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $69.18 | Professional | None | $12.02 | $21.38 | $69.18 |
Fallon Health Setting Facility Modifier None Typical Low $22.39 Median $29.51 Typical High $4,897.79 | Facility | None | $22.39 | $29.51 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | None | $25.12 | $25.12 | $29.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.08 Median $17.78 Typical High $66.07 | Professional | None | $7.08 | $17.78 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $15.49 Median $21.38 Typical High $93.33 | Facility | None | $15.49 | $21.38 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.18 Median $19.50 Typical High $53.70 | Facility | None | $13.18 | $19.50 | $53.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.08 Median $17.78 Typical High $44.67 | Professional | None | $7.08 | $17.78 | $44.67 |
United Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $21.38 | Facility | None | $15.85 | $17.78 | $21.38 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.47 Typical High $37.15 | Professional | None | $6.31 | $10.47 | $37.15 |
Well Sense Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $30.90 | Facility | None | $15.49 | $19.50 | $30.90 |
Well Sense Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | None | $16.22 | $16.22 | $19.50 |
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 $7.41 Median $7.41 Typical High $9.12 | Professional | 52 · Reduced service | $7.41 | $7.41 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.63 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.63 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $17.78 Median $22.91 Typical High $27.54 | Facility | QW · Waived lab test | $17.78 | $22.91 | $27.54 |
Where Massachusetts sits
The same service costs 3.1 times more in Kansas 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· 20th of 51
$19.50
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.