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 $18.62 Median $52.48 Typical High $87.10 | Facility | None | $18.62 | $52.48 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $69.18 | Facility | None | $16.98 | $24.55 | $69.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.91 Median $22.39 Typical High $56.23 | Professional | None | $8.91 | $22.39 | $56.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $46.77 Typical High $83.18 | Facility | None | $27.54 | $46.77 | $83.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $24.55 | Professional | None | $20.89 | $21.88 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $29.51 Typical High $50.12 | Facility | None | $14.79 | $29.51 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $27.54 Typical High $87.10 | Professional | None | $13.49 | $27.54 | $87.10 |
Fallon Health Setting Facility Modifier None Typical Low $27.54 Median $38.02 Typical High $4,897.79 | Facility | None | $27.54 | $38.02 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.91 Median $22.39 Typical High $77.62 | Professional | None | $8.91 | $22.39 | $77.62 |
Health New England Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $25.12 | Facility | None | $17.38 | $17.38 | $25.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.98 Median $24.55 Typical High $69.18 | Facility | None | $16.98 | $24.55 | $69.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.91 Median $22.39 Typical High $56.23 | Professional | None | $8.91 | $22.39 | $56.23 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $8.32 Median $13.49 Typical High $46.77 | Professional | None | $8.32 | $13.49 | $46.77 |
Well Sense Setting Facility Modifier None Typical Low $19.95 Median $24.55 Typical High $38.90 | Facility | None | $19.95 | $24.55 | $38.90 |
Well Sense Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
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 $9.12 Median $9.12 Typical High $10.96 | Professional | 52 · Reduced service | $9.12 | $9.12 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.37 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $22.39 Median $28.84 Typical High $34.67 | Facility | QW · Waived lab test | $22.39 | $28.84 | $34.67 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in New York. 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
$24.55
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.