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 $15.49 Median $69.18 Typical High $72.44 | Facility | None | $15.49 | $69.18 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $22.39 | Professional | None | $15.14 | $15.49 | $22.39 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $51.29 | Facility | None | $12.30 | $17.78 | $51.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $40.74 | Professional | None | $9.77 | $16.22 | $40.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $22.91 Median $39.81 Typical High $69.18 | Facility | None | $22.91 | $39.81 | $69.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $20.89 | Professional | None | $15.14 | $15.85 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $23.44 Typical High $41.69 | Facility | None | $10.72 | $23.44 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $63.10 | Professional | None | $11.22 | $19.95 | $63.10 |
Fallon Health Setting Facility Modifier None Typical Low $20.89 Median $27.54 Typical High $4,897.79 | Facility | None | $20.89 | $27.54 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | None | $23.44 | $23.44 | $27.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.13 Median $16.22 Typical High $63.10 | Professional | None | $8.13 | $16.22 | $63.10 |
Health New England Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $158.49 | Facility | None | $20.42 | $24.55 | $158.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $51.29 | Facility | None | $12.30 | $17.78 | $51.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $40.74 | Professional | None | $9.77 | $16.22 | $40.74 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $47.86 | Facility | None | $16.22 | $16.22 | $47.86 |
United Setting Professional Modifier None Typical Low $6.46 Median $12.59 Typical High $34.67 | Professional | None | $6.46 | $12.59 | $34.67 |
Well Sense Setting Facility Modifier None Typical Low $14.45 Median $17.78 Typical High $28.18 | Facility | None | $14.45 | $17.78 | $28.18 |
Well Sense Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $20.42 | Professional | None | $16.98 | $16.98 | $20.42 |
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 $7.76 Median $7.76 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $7.76 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.72 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.72 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.22 Median $21.38 Typical High $25.12 | Facility | QW · Waived lab test | $16.22 | $21.38 | $25.12 |
Where Massachusetts sits
The same service costs 3.6 times more in Alaska than in Maryland. 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
$18.62
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.