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 $3.47 Median $14.13 Typical High $39.81 | Facility | None | $3.47 | $14.13 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $7.59 | Professional | None | $3.55 | $3.55 | $7.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.03 Median $8.71 Typical High $23.44 | Facility | None | $6.03 | $8.71 | $23.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.24 Median $7.41 Typical High $20.42 | Professional | None | $3.24 | $7.41 | $20.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $38.90 | Facility | None | $15.49 | $19.50 | $38.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $7.59 | Professional | None | $4.68 | $4.68 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $10.96 Typical High $20.89 | Facility | None | $5.25 | $10.96 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $10.00 Typical High $30.90 | Professional | None | $4.90 | $10.00 | $30.90 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $13.49 Typical High $4,897.79 | Facility | None | $11.48 | $13.49 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.24 Median $7.94 Typical High $30.90 | Professional | None | $3.24 | $7.94 | $30.90 |
Health New England Setting Facility Modifier None Typical Low $10.23 Median $34.67 Typical High $309.03 | Facility | None | $10.23 | $34.67 | $309.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.03 Median $8.71 Typical High $23.44 | Facility | None | $6.03 | $8.71 | $23.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.24 Median $7.41 Typical High $20.42 | Professional | None | $3.24 | $7.41 | $20.42 |
Tufts Setting Professional Modifier None Typical Low $3.80 Median $7.08 Typical High $12.88 | Professional | None | $3.80 | $7.08 | $12.88 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.94 Typical High $9.55 | Facility | None | $7.24 | $7.94 | $9.55 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $16.98 | Professional | None | $3.09 | $4.79 | $16.98 |
Well Sense Setting Facility Modifier None Typical Low $3.89 Median $8.91 Typical High $14.13 | Facility | None | $3.89 | $8.91 | $14.13 |
Well Sense Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $4.57 | Professional | None | $3.89 | $3.89 | $4.57 |
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 $1.78 Median $1.78 Typical High $4.17 | Professional | 52 · Reduced service | $1.78 | $1.78 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $1.66 | Professional | 53 · Discontinued | $0.71 | $0.71 | $1.66 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $7.94 Median $10.47 Typical High $12.30 | Facility | QW · Waived lab test | $7.94 | $10.47 | $12.30 |
Where Massachusetts sits
The same service costs 3.6 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· 23rd of 51
$7.94
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.