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 $2.45 Median $6.92 Typical High $11.48 | Facility | None | $2.45 | $6.92 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $7.41 | Professional | None | $2.45 | $2.45 | $7.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.72 Median $5.25 Typical High $14.79 | Facility | None | $3.72 | $5.25 | $14.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.14 Median $5.01 Typical High $12.59 | Professional | None | $2.14 | $5.01 | $12.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.39 Median $10.00 Typical High $14.45 | Facility | None | $3.39 | $10.00 | $14.45 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.24 Median $3.24 Typical High $4.79 | Professional | None | $3.24 | $3.24 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $5.37 Typical High $10.72 | Facility | None | $3.31 | $5.37 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $5.50 Typical High $19.05 | Professional | None | $2.45 | $5.50 | $19.05 |
Fallon Health Setting Facility Modifier None Typical Low $2.95 Median $8.51 Typical High $4,897.79 | Facility | None | $2.95 | $8.51 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.51 | Professional | None | $7.24 | $7.24 | $8.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.14 Median $5.01 Typical High $17.38 | Professional | None | $2.14 | $5.01 | $17.38 |
Health New England Setting Facility Modifier None Typical Low $3.31 Median $3.55 Typical High $100.00 | Facility | None | $3.31 | $3.55 | $100.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.72 Median $5.25 Typical High $14.79 | Facility | None | $3.72 | $5.25 | $14.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.14 Median $5.01 Typical High $12.59 | Professional | None | $2.14 | $5.01 | $12.59 |
Tufts Setting Facility Modifier None Typical Low $2.63 Median $5.13 Typical High $8.32 | Facility | None | $2.63 | $5.13 | $8.32 |
United Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $8.32 | Facility | None | $5.01 | $5.01 | $8.32 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.55 Typical High $10.47 | Professional | None | $2.09 | $3.55 | $10.47 |
Well Sense Setting Facility Modifier None Typical Low $2.69 Median $5.50 Typical High $8.71 | Facility | None | $2.69 | $5.50 | $8.71 |
Well Sense Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.24 | Professional | None | $2.69 | $2.69 | $3.24 |
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 $1.23 Median $1.23 Typical High $1.82 | Professional | 52 · Reduced service | $1.23 | $1.23 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.49 Typical High $0.72 | Professional | 53 · Discontinued | $0.49 | $0.49 | $0.72 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.01 Median $6.61 Typical High $7.76 | Facility | QW · Waived lab test | $5.01 | $6.61 | $7.76 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska 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· 25th of 51
$5.01
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.