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 $19.95 Median $56.23 Typical High $93.33 | Facility | None | $19.95 | $56.23 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $67.61 | Facility | None | $15.85 | $23.44 | $67.61 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $53.70 | Professional | None | $12.30 | $20.89 | $53.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $91.20 | Facility | None | $29.51 | $51.29 | $91.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $19.95 Median $20.42 Typical High $26.92 | Professional | None | $19.95 | $20.42 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $54.95 | Facility | None | $13.80 | $30.20 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $81.28 | Professional | None | $14.45 | $25.70 | $81.28 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $4,897.79 | Facility | None | $30.20 | $35.48 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | None | $30.20 | $30.20 | $35.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.47 Median $20.89 Typical High $81.28 | Professional | None | $10.47 | $20.89 | $81.28 |
Health New England Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $67.61 | Facility | None | $15.85 | $23.44 | $67.61 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.30 Median $20.89 Typical High $53.70 | Professional | None | $12.30 | $20.89 | $53.70 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $60.26 | Facility | None | $20.89 | $20.89 | $60.26 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $44.67 | Professional | None | $8.51 | $12.59 | $44.67 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $23.44 Typical High $37.15 | Facility | None | $18.62 | $23.44 | $37.15 |
Well Sense Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
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 $10.00 Median $10.00 Typical High $12.02 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.89 Median $27.54 Typical High $32.36 | Facility | QW · Waived lab test | $20.89 | $27.54 | $32.36 |
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· 21st of 51
$23.99
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.