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 $7.94 Median $22.39 Typical High $37.15 | Facility | None | $7.94 | $22.39 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $9.33 | Professional | None | $7.94 | $7.94 | $9.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.61 Median $9.77 Typical High $26.92 | Facility | None | $6.61 | $9.77 | $26.92 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $22.39 | Professional | None | $5.25 | $8.71 | $22.39 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.75 Median $19.95 Typical High $35.48 | Facility | None | $11.75 | $19.95 | $35.48 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $10.47 | Professional | None | $8.32 | $8.71 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.02 Typical High $21.88 | Facility | None | $5.75 | $12.02 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $10.72 Typical High $34.67 | Professional | None | $5.62 | $10.72 | $34.67 |
Fallon Health Setting Facility Modifier None Typical Low $11.75 Median $14.45 Typical High $4,897.79 | Facility | None | $11.75 | $14.45 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | None | $12.30 | $12.30 | $14.45 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.37 Median $8.71 Typical High $32.36 | Professional | None | $4.37 | $8.71 | $32.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.61 Median $9.77 Typical High $26.92 | Facility | None | $6.61 | $9.77 | $26.92 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $22.39 | Professional | None | $5.25 | $8.71 | $22.39 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $23.99 | Facility | None | $8.71 | $8.71 | $23.99 |
United Setting Professional Modifier None Typical Low $3.55 Median $6.76 Typical High $18.62 | Professional | None | $3.55 | $6.76 | $18.62 |
Well Sense Setting Facility Modifier None Typical Low $7.76 Median $9.77 Typical High $15.49 | Facility | None | $7.76 | $9.77 | $15.49 |
Well Sense Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | None | $8.71 | $8.71 | $10.47 |
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 $3.98 Median $3.98 Typical High $4.68 | Professional | 52 · Reduced service | $3.98 | $3.98 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.91 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.91 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.71 Median $11.48 Typical High $13.49 | Facility | QW · Waived lab test | $8.71 | $11.48 | $13.49 |
Where Massachusetts sits
The same service costs 3.5 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· 18th of 51
$9.77
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.