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 $16.60 Median $46.77 Typical High $77.62 | Facility | None | $16.60 | $46.77 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | None | $16.60 | $16.60 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.88 Median $19.05 Typical High $54.95 | Facility | None | $12.88 | $19.05 | $54.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $43.65 | Professional | None | $10.47 | $17.38 | $43.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.88 Median $47.86 Typical High $67.61 | Facility | None | $33.88 | $47.86 | $67.61 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $22.39 | Professional | None | $16.22 | $16.98 | $22.39 |
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 $20.89 Typical High $67.61 | Professional | None | $12.02 | $20.89 | $67.61 |
Fallon Health Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $4,897.79 | Facility | None | $25.12 | $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 $8.71 Median $17.38 Typical High $67.61 | Professional | None | $8.71 | $17.38 | $67.61 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.88 Median $19.05 Typical High $54.95 | Facility | None | $12.88 | $19.05 | $54.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $43.65 | Professional | None | $10.47 | $17.38 | $43.65 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $20.89 | Facility | None | $15.49 | $17.38 | $20.89 |
United Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $36.31 | Professional | None | $6.92 | $13.49 | $36.31 |
Well Sense Setting Facility Modifier None Typical Low $15.14 Median $19.05 Typical High $30.20 | Facility | None | $15.14 | $19.05 | $30.20 |
Well Sense Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | None | $18.20 | $18.20 | $21.88 |
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 $8.32 Median $8.32 Typical High $10.00 | Professional | 52 · Reduced service | $8.32 | $8.32 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.98 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.98 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $17.38 Median $22.39 Typical High $26.92 | Facility | QW · Waived lab test | $17.38 | $22.39 | $26.92 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in West Virginia. 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
$19.05
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.