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 $16.98 Median $47.86 Typical High $79.43 | Facility | None | $16.98 | $47.86 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | None | $16.98 | $16.98 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.18 Median $19.50 Typical High $56.23 | Facility | None | $13.18 | $19.50 | $56.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $44.67 | Professional | None | $10.72 | $17.78 | $44.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $43.65 Typical High $75.86 | Facility | None | $25.12 | $43.65 | $75.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $22.39 | Professional | None | $16.60 | $17.38 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.12 Typical High $45.71 | Facility | None | $11.75 | $25.12 | $45.71 |
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 $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 $8.91 Median $17.78 Typical High $69.18 | Professional | None | $8.91 | $17.78 | $69.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.18 Median $19.50 Typical High $56.23 | Facility | None | $13.18 | $19.50 | $56.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $44.67 | Professional | None | $10.72 | $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 $7.08 Median $13.80 Typical High $37.15 | Professional | None | $7.08 | $13.80 | $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 $18.62 Median $18.62 Typical High $22.39 | Professional | None | $18.62 | $18.62 | $22.39 |
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 $8.51 Median $8.51 Typical High $10.00 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.07 |
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 3.6 times more in Kansas than in Oklahoma. 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· 15th of 51
$21.38
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.