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 $24.55 Median $48.98 Typical High $109.65 | Facility | None | $24.55 | $48.98 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | None | $24.55 | $24.55 | $28.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $100.00 | Facility | None | $25.70 | $36.31 | $100.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $89.13 | Professional | None | $20.42 | $33.88 | $89.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $87.10 | Facility | None | $34.67 | $43.65 | $87.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | None | $32.36 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $54.95 | Facility | None | $22.39 | $25.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $41.69 Typical High $131.83 | Professional | None | $19.05 | $41.69 | $131.83 |
Fallon Health Setting Facility Modifier None Typical Low $48.98 Median $57.54 Typical High $5,888.44 | Facility | None | $48.98 | $57.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $16.98 Median $33.88 Typical High $123.03 | Professional | None | $16.98 | $33.88 | $123.03 |
Health New England Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $27.54 | Facility | None | $18.20 | $18.20 | $27.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $25.70 Median $36.31 Typical High $100.00 | Facility | None | $25.70 | $36.31 | $100.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $89.13 | Professional | None | $20.42 | $33.88 | $89.13 |
United Setting Facility Modifier None Typical Low $30.90 Median $33.88 Typical High $40.74 | Facility | None | $30.90 | $33.88 | $40.74 |
United Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $72.44 | Professional | None | $13.80 | $20.89 | $72.44 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $2,511.89 | Facility | None | $30.20 | $41.69 | $2,511.89 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $12.30 Median $12.30 Typical High $12.88 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.25 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.25 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $33.88 Median $44.67 Typical High $52.48 | Facility | QW · Waived lab test | $33.88 | $44.67 | $52.48 |
Where Massachusetts sits
The same service costs 4.2 times more in Alaska 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· 16th of 51
$34.67
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.