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 $7.94 Median $22.91 Typical High $38.02 | Facility | None | $7.94 | $22.91 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $10.47 | Professional | None | $7.94 | $7.94 | $10.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.41 Median $10.72 Typical High $29.51 | Facility | None | $7.41 | $10.72 | $29.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $24.55 | Professional | None | $5.89 | $9.77 | $24.55 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.96 Median $22.39 Typical High $33.11 | Facility | None | $10.96 | $22.39 | $33.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.12 Median $9.55 Typical High $10.72 | Professional | None | $9.12 | $9.55 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $13.49 Typical High $23.44 | Facility | None | $6.46 | $13.49 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $12.02 Typical High $38.02 | Professional | None | $6.31 | $12.02 | $38.02 |
Fallon Health Setting Facility Modifier None Typical Low $9.55 Median $16.22 Typical High $4,897.79 | Facility | None | $9.55 | $16.22 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.90 Median $9.77 Typical High $35.48 | Professional | None | $4.90 | $9.77 | $35.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.41 Median $10.72 Typical High $29.51 | Facility | None | $7.41 | $10.72 | $29.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $24.55 | Professional | None | $5.89 | $9.77 | $24.55 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $25.70 | Facility | None | $9.77 | $9.77 | $25.70 |
United Setting Professional Modifier None Typical Low $3.89 Median $7.08 Typical High $20.42 | Professional | None | $3.89 | $7.08 | $20.42 |
Well Sense Setting Facility Modifier None Typical Low $8.71 Median $10.72 Typical High $16.98 | Facility | None | $8.71 | $10.72 | $16.98 |
Well Sense Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | None | $8.71 | $8.71 | $10.47 |
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 $3.98 Median $3.98 Typical High $5.25 | Professional | 52 · Reduced service | $3.98 | $3.98 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $2.09 | Professional | 53 · Discontinued | $1.62 | $1.62 | $2.09 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $9.77 Median $12.88 Typical High $15.14 | Facility | QW · Waived lab test | $9.77 | $12.88 | $15.14 |
Where Massachusetts sits
The same service costs 4.4 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· 19th of 51
$10.72
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.