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 $25.12 Median $70.79 Typical High $117.49 | Facility | None | $25.12 | $70.79 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $30.20 | Professional | None | $25.12 | $25.12 | $30.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $87.10 | Facility | None | $21.38 | $31.62 | $87.10 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $72.44 | Professional | None | $16.98 | $28.18 | $72.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $37.15 Median $64.57 Typical High $112.20 | Facility | None | $37.15 | $64.57 | $112.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $33.88 | Professional | None | $26.92 | $28.18 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $38.90 Typical High $67.61 | Facility | None | $18.62 | $38.90 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $34.67 Typical High $109.65 | Professional | None | $18.20 | $34.67 | $109.65 |
Fallon Health Setting Facility Modifier None Typical Low $38.02 Median $47.86 Typical High $4,897.79 | Facility | None | $38.02 | $47.86 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None | $40.74 | $40.74 | $47.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.13 Median $28.18 Typical High $102.33 | Professional | None | $14.13 | $28.18 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $87.10 | Facility | None | $21.38 | $31.62 | $87.10 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.98 Median $28.18 Typical High $72.44 | Professional | None | $16.98 | $28.18 | $72.44 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $75.86 | Facility | None | $28.18 | $28.18 | $75.86 |
United Setting Professional Modifier None Typical Low $11.48 Median $20.89 Typical High $60.26 | Professional | None | $11.48 | $20.89 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $25.12 Median $31.62 Typical High $50.12 | Facility | None | $25.12 | $31.62 | $50.12 |
Well Sense Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
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 $12.59 Median $12.59 Typical High $15.14 | Professional | 52 · Reduced service | $12.59 | $12.59 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $6.03 | Professional | 53 · Discontinued | $5.01 | $5.01 | $6.03 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $28.18 Median $37.15 Typical High $44.67 | Facility | QW · Waived lab test | $28.18 | $37.15 | $44.67 |
Where Massachusetts sits
The same service costs 4.8 times more in Kansas than in Texas. 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
$31.62
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.