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 $13.49 Median $38.90 Typical High $64.57 | Facility | None | $13.49 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $16.22 | Professional | None | $13.18 | $13.49 | $16.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $45.71 | Facility | None | $10.72 | $15.85 | $45.71 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $36.31 | Professional | None | $8.51 | $14.45 | $36.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $61.66 | Facility | None | $20.42 | $35.48 | $61.66 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $18.20 | Professional | None | $13.49 | $14.13 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $37.15 | Facility | None | $9.33 | $20.42 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $17.38 Typical High $56.23 | Professional | None | $9.77 | $17.38 | $56.23 |
Fallon Health Setting Facility Modifier None Typical Low $20.42 Median $23.99 Typical High $4,897.79 | Facility | None | $20.42 | $23.99 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $54.95 | Professional | None | $7.08 | $14.45 | $54.95 |
Health New England Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $18.62 | Facility | None | $12.88 | $18.62 | $18.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $45.71 | Facility | None | $10.72 | $15.85 | $45.71 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $36.31 | Professional | None | $8.51 | $14.45 | $36.31 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $16.98 | Facility | None | $12.88 | $14.45 | $16.98 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.96 Typical High $30.20 | Professional | None | $5.75 | $10.96 | $30.20 |
Well Sense Setting Facility Modifier None Typical Low $12.59 Median $15.85 Typical High $25.12 | Facility | None | $12.59 | $15.85 | $25.12 |
Well Sense Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.78 | Professional | None | $14.79 | $14.79 | $17.78 |
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 $6.76 Median $6.76 Typical High $8.13 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.24 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.24 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $18.62 Typical High $22.39 | Facility | QW · Waived lab test | $14.45 | $18.62 | $22.39 |
Where Massachusetts sits
The same service costs 6.3 times more in Kansas than in Kentucky. 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· 24th of 51
$15.85
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.