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 $18.20 Median $36.31 Typical High $85.11 | Facility | None | $18.20 | $36.31 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.45 Median $21.38 Typical High $60.26 | Facility | None | $14.45 | $21.38 | $60.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $11.48 Median $19.50 Typical High $56.23 | Professional | None | $11.48 | $19.50 | $56.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.46 Median $46.77 Typical High $67.61 | Facility | None | $6.46 | $46.77 | $67.61 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $23.99 | Professional | None | $18.20 | $19.05 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $26.30 Typical High $48.98 | Facility | None | $12.59 | $26.30 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $23.44 Typical High $75.86 | Professional | None | $11.75 | $23.44 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $4,897.79 | Facility | None | $21.88 | $32.36 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | None | $27.54 | $27.54 | $32.36 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.55 Median $19.50 Typical High $74.13 | Professional | None | $9.55 | $19.50 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.45 Median $21.38 Typical High $60.26 | Facility | None | $14.45 | $21.38 | $60.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $11.48 Median $19.50 Typical High $56.23 | Professional | None | $11.48 | $19.50 | $56.23 |
United Setting Facility Modifier None Typical Low $17.38 Median $19.50 Typical High $23.44 | Facility | None | $17.38 | $19.50 | $23.44 |
United Setting Professional Modifier None Typical Low $7.76 Median $14.79 Typical High $60.26 | Professional | None | $7.76 | $14.79 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $16.98 Median $21.38 Typical High $33.88 | Facility | None | $16.98 | $21.38 | $33.88 |
Well Sense Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | None | $19.95 | $19.95 | $23.44 |
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 $8.91 Median $8.91 Typical High $10.72 | Professional | 52 · Reduced service | $8.91 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.27 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.27 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $19.50 Median $25.12 Typical High $30.20 | Facility | QW · Waived lab test | $19.50 | $25.12 | $30.20 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 14th of 51
$22.39
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.