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 $23.44 Median $31.62 Typical High $109.65 | Facility | None | $23.44 | $31.62 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | None | $22.39 | $23.44 | $23.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $81.28 | Facility | None | $19.95 | $29.51 | $81.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $67.61 | Professional | None | $12.59 | $26.92 | $67.61 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $34.67 Median $60.26 Typical High $104.71 | Facility | None | $34.67 | $60.26 | $104.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $25.12 Median $26.30 Typical High $31.62 | Professional | None | $25.12 | $26.30 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $36.31 Typical High $63.10 | Facility | None | $17.38 | $36.31 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $32.36 Typical High $102.33 | Professional | None | $16.98 | $32.36 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $4,897.79 | Facility | None | $35.48 | $44.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $95.50 | Professional | None | $12.59 | $26.92 | $95.50 |
Health New England Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $57.54 | Facility | None | $21.88 | $32.36 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $29.51 Typical High $81.28 | Facility | None | $19.95 | $29.51 | $81.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $67.61 | Professional | None | $12.59 | $26.92 | $67.61 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $75.86 | Facility | None | $26.92 | $26.92 | $75.86 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $56.23 | Professional | None | $10.72 | $15.85 | $56.23 |
Well Sense Setting Facility Modifier None Typical Low $23.44 Median $29.51 Typical High $46.77 | Facility | None | $23.44 | $29.51 | $46.77 |
Well Sense Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | None | $25.70 | $25.70 | $30.90 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $4.68 | $4.68 | $4.68 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.92 Median $34.67 Typical High $41.69 | Facility | QW · Waived lab test | $26.92 | $34.67 | $41.69 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Alabama. 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
$29.51
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.