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 $7.41 Median $33.11 Typical High $43.65 | Facility | None | $7.41 | $33.11 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $11.75 | Professional | None | $7.41 | $7.41 | $11.75 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.13 Median $11.48 Typical High $31.62 | Facility | None | $8.13 | $11.48 | $31.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.27 Median $10.72 Typical High $26.92 | Professional | None | $4.27 | $10.72 | $26.92 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.23 Median $26.30 Typical High $38.02 | Facility | None | $10.23 | $26.30 | $38.02 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $27.54 | Facility | None | $7.08 | $15.49 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $41.69 | Professional | None | $7.41 | $13.18 | $41.69 |
Fallon Health Setting Facility Modifier None Typical Low $10.47 Median $18.20 Typical High $4,897.79 | Facility | None | $10.47 | $18.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.27 Median $10.72 Typical High $40.74 | Professional | None | $4.27 | $10.72 | $40.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.13 Median $11.48 Typical High $31.62 | Facility | None | $8.13 | $11.48 | $31.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.27 Median $10.72 Typical High $26.92 | Professional | None | $4.27 | $10.72 | $26.92 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $31.62 | Facility | None | $10.72 | $10.72 | $31.62 |
United Setting Professional Modifier None Typical Low $3.16 Median $6.46 Typical High $22.39 | Professional | None | $3.16 | $6.46 | $22.39 |
Well Sense Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $18.62 | Facility | None | $8.13 | $11.75 | $18.62 |
Well Sense Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | None | $8.13 | $8.13 | $9.77 |
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 $3.72 Median $3.72 Typical High $5.89 | Professional | 52 · Reduced service | $3.72 | $3.72 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $2.40 | Professional | 53 · Discontinued | $1.48 | $1.48 | $2.40 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $10.72 Median $13.80 Typical High $16.60 | Facility | QW · Waived lab test | $10.72 | $13.80 | $16.60 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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· 25th of 51
$11.22
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.