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 $6.61 Median $18.62 Typical High $30.90 | Facility | None | $6.61 | $18.62 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $9.77 | Professional | None | $6.61 | $6.61 | $9.77 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.61 Median $9.55 Typical High $25.70 | Facility | None | $6.61 | $9.55 | $25.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $8.91 Typical High $22.39 | Professional | None | $5.25 | $8.91 | $22.39 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $8.91 Median $21.38 Typical High $30.90 | Facility | None | $8.91 | $21.38 | $30.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $8.71 | Professional | None | $8.32 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.59 Typical High $22.91 | Facility | None | $5.75 | $12.59 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $10.72 Typical High $34.67 | Professional | None | $6.17 | $10.72 | $34.67 |
Fallon Health Setting Facility Modifier None Typical Low $12.30 Median $14.45 Typical High $4,897.79 | Facility | None | $12.30 | $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 $4.47 Median $8.91 Typical High $33.88 | Professional | None | $4.47 | $8.91 | $33.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.61 Median $9.55 Typical High $25.70 | Facility | None | $6.61 | $9.55 | $25.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $8.91 Typical High $22.39 | Professional | None | $5.25 | $8.91 | $22.39 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $30.20 | Facility | None | $8.91 | $8.91 | $30.20 |
United Setting Professional Modifier None Typical Low $3.55 Median $5.37 Typical High $18.62 | Professional | None | $3.55 | $5.37 | $18.62 |
Well Sense Setting Facility Modifier None Typical Low $7.24 Median $9.77 Typical High $15.49 | Facility | None | $7.24 | $9.77 | $15.49 |
Well Sense Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.71 | Professional | None | $7.24 | $7.24 | $8.71 |
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 $3.31 Median $3.31 Typical High $4.90 | Professional | 52 · Reduced service | $3.31 | $3.31 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.95 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.91 Median $11.48 Typical High $13.80 | Facility | QW · Waived lab test | $8.91 | $11.48 | $13.80 |
Where Massachusetts sits
The same service costs 3.8 times more in Kansas than in Oklahoma. 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· 24th of 51
$9.33
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.