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 $20.42 Median $57.54 Typical High $95.50 | Facility | None | $20.42 | $57.54 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | None | $20.42 | $20.42 | $24.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.22 Median $23.44 Typical High $69.18 | Facility | None | $16.22 | $23.44 | $69.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.51 Median $21.38 Typical High $53.70 | Professional | None | $8.51 | $21.38 | $53.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $85.11 | Facility | None | $42.66 | $60.26 | $85.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $27.54 | Professional | None | $20.42 | $20.89 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $56.23 | Facility | None | $14.13 | $30.90 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $26.30 Typical High $83.18 | Professional | None | $14.79 | $26.30 | $83.18 |
Fallon Health Setting Facility Modifier None Typical Low $30.90 Median $36.31 Typical High $4,897.79 | Facility | None | $30.90 | $36.31 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.51 Median $21.38 Typical High $83.18 | Professional | None | $8.51 | $21.38 | $83.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.22 Median $23.44 Typical High $69.18 | Facility | None | $16.22 | $23.44 | $69.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.51 Median $21.38 Typical High $53.70 | Professional | None | $8.51 | $21.38 | $53.70 |
United Setting Facility Modifier None Typical Low $19.50 Median $21.38 Typical High $25.70 | Facility | None | $19.50 | $21.38 | $25.70 |
United Setting Professional Modifier None Typical Low $3.16 Median $12.88 Typical High $45.71 | Professional | None | $3.16 | $12.88 | $45.71 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $23.44 Typical High $37.15 | Facility | None | $19.05 | $23.44 | $37.15 |
Well Sense Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | None | $22.39 | $22.39 | $26.92 |
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 $10.23 Median $10.23 Typical High $12.30 | Professional | 52 · Reduced service | $10.23 | $10.23 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.90 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.90 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $21.38 Median $28.18 Typical High $33.11 | Facility | QW · Waived lab test | $21.38 | $28.18 | $33.11 |
Where Massachusetts sits
The same service costs 3.0 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· 21st of 51
$23.44
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.