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 $2.24 Median $6.31 Typical High $10.47 | Facility | None | $2.24 | $6.31 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $5.62 | Professional | None | $2.24 | $2.24 | $5.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.95 Median $4.17 Typical High $11.75 | Facility | None | $2.95 | $4.17 | $11.75 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $10.23 | Professional | None | $2.40 | $3.98 | $10.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.31 Median $7.94 Typical High $11.22 | Facility | None | $3.31 | $7.94 | $11.22 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.80 | Professional | None | $3.02 | $3.02 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $4.07 Typical High $8.51 | Facility | None | $2.63 | $4.07 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $4.57 Typical High $15.14 | Professional | None | $1.82 | $4.57 | $15.14 |
Fallon Health Setting Facility Modifier None Typical Low $4.27 Median $6.76 Typical High $4,897.79 | Facility | None | $4.27 | $6.76 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | None | $5.75 | $5.75 | $6.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $13.80 | Professional | None | $2.40 | $3.98 | $13.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.95 Median $4.17 Typical High $11.75 | Facility | None | $2.95 | $4.17 | $11.75 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $10.23 | Professional | None | $2.40 | $3.98 | $10.23 |
Tufts Setting Facility Modifier None Typical Low $2.45 Median $3.55 Typical High $4.79 | Facility | None | $2.45 | $3.55 | $4.79 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.98 Typical High $4.79 | Facility | None | $3.63 | $3.98 | $4.79 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.31 Typical High $8.51 | Professional | None | $2.00 | $3.31 | $8.51 |
Well Sense Setting Facility Modifier None Typical Low $2.45 Median $4.47 Typical High $7.08 | Facility | None | $2.45 | $4.47 | $7.08 |
Well Sense Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | None | $2.45 | $2.45 | $2.95 |
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 $1.12 Median $1.12 Typical High $1.35 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.54 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.54 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.98 Median $5.25 Typical High $6.17 | Facility | QW · Waived lab test | $3.98 | $5.25 | $6.17 |
Where Massachusetts sits
The same service costs 3.3 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· 17th of 51
$3.98
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.