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 $16.22 Median $31.62 Typical High $75.86 | Facility | None | $16.22 | $31.62 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $25.12 | Professional | None | $16.22 | $16.22 | $25.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $54.95 | Facility | None | $13.49 | $19.50 | $54.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $52.48 | Professional | None | $10.72 | $17.78 | $52.48 |
BCBS Setting Facility Modifier None Typical Low $14.79 Median $41.69 Typical High $60.26 | Facility | None | $14.79 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $43.65 | Facility | None | $12.30 | $24.55 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $21.88 Typical High $70.79 | Professional | None | $11.48 | $21.88 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $30.20 Typical High $4,897.79 | Facility | None | $24.55 | $30.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.91 Median $17.78 Typical High $66.07 | Professional | None | $8.91 | $17.78 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $18.62 Median $26.92 Typical High $93.33 | Facility | None | $18.62 | $26.92 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $54.95 | Facility | None | $13.49 | $19.50 | $54.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $52.48 | Professional | None | $10.72 | $17.78 | $52.48 |
Tufts Setting Facility Modifier None Typical Low $15.85 Median $21.38 Typical High $40.74 | Facility | None | $15.85 | $21.38 | $40.74 |
Tufts Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $28.84 | Professional | None | $15.85 | $17.38 | $28.84 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $18.20 | Facility | None | $17.78 | $17.78 | $18.20 |
United Setting Professional Modifier None Typical Low $7.24 Median $13.80 Typical High $54.95 | Professional | None | $7.24 | $13.80 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $19.95 Typical High $30.90 | Facility | None | $15.85 | $19.95 | $30.90 |
Well Sense Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
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 $7.94 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $17.78 Median $23.44 Typical High $27.54 | Facility | QW · Waived lab test | $17.78 | $23.44 | $27.54 |
Where Massachusetts sits
The same service costs 10.2 times more in Vermont than in Maryland. 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· 16th of 51
$20.89
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.