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 $7.41 Median $20.89 Typical High $34.67 | Facility | None | $7.41 | $20.89 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $8.71 | Professional | None | $7.41 | $7.41 | $8.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.77 Median $13.80 Typical High $38.02 | Facility | None | $9.77 | $13.80 | $38.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $11.48 Typical High $33.11 | Professional | None | $5.25 | $11.48 | $33.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.96 Median $25.70 Typical High $37.15 | Facility | None | $10.96 | $25.70 | $37.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.30 | Professional | None | $10.00 | $10.00 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $13.18 Typical High $27.54 | Facility | None | $8.51 | $13.18 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $15.85 Typical High $51.29 | Professional | None | $5.89 | $15.85 | $51.29 |
Fallon Health Setting Facility Modifier None Typical Low $8.91 Median $21.88 Typical High $4,897.79 | Facility | None | $8.91 | $21.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $45.71 | Professional | None | $5.25 | $13.18 | $45.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.77 Median $13.80 Typical High $38.02 | Facility | None | $9.77 | $13.80 | $38.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $11.48 Typical High $33.11 | Professional | None | $5.25 | $11.48 | $33.11 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $23.99 | Facility | None | $13.18 | $13.18 | $23.99 |
United Setting Professional Modifier None Typical Low $4.17 Median $7.94 Typical High $27.54 | Professional | None | $4.17 | $7.94 | $27.54 |
Well Sense Setting Facility Modifier None Typical Low $8.13 Median $14.45 Typical High $22.91 | Facility | None | $8.13 | $14.45 | $22.91 |
Well Sense Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | None | $8.13 | $8.13 | $9.77 |
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 $3.72 Median $3.72 Typical High $4.37 | Professional | 52 · Reduced service | $3.72 | $3.72 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.78 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.18 Median $16.98 Typical High $20.42 | Facility | QW · Waived lab test | $13.18 | $16.98 | $20.42 |
Where Massachusetts sits
The same service costs 4.7 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· 21st of 51
$13.18
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.