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 $21.38 Median $61.66 Typical High $102.33 | Facility | None | $21.38 | $61.66 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None | $21.38 | $21.38 | $25.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.98 Median $25.12 Typical High $72.44 | Facility | None | $16.98 | $25.12 | $72.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $57.54 | Professional | None | $13.49 | $22.91 | $57.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $32.36 Median $56.23 Typical High $97.72 | Facility | None | $32.36 | $56.23 | $97.72 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $28.84 | Professional | None | $21.38 | $22.39 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $32.36 Typical High $58.88 | Facility | None | $14.79 | $32.36 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $27.54 Typical High $87.10 | Professional | None | $15.49 | $27.54 | $87.10 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $4,897.79 | Facility | None | $25.70 | $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 $11.22 Median $22.91 Typical High $87.10 | Professional | None | $11.22 | $22.91 | $87.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.98 Median $25.12 Typical High $72.44 | Facility | None | $16.98 | $25.12 | $72.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $57.54 | Professional | None | $13.49 | $22.91 | $57.54 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $75.86 | Facility | None | $22.91 | $22.91 | $75.86 |
United Setting Professional Modifier None Typical Low $9.12 Median $17.38 Typical High $47.86 | Professional | None | $9.12 | $17.38 | $47.86 |
Well Sense Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $39.81 | Facility | None | $19.95 | $25.12 | $39.81 |
Well Sense Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | None | $23.44 | $23.44 | $28.18 |
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 $10.72 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $10.72 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $4.27 | $4.27 | $5.13 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $22.91 Median $29.51 Typical High $35.48 | Facility | QW · Waived lab test | $22.91 | $29.51 | $35.48 |
Where Massachusetts sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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
$25.70
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.