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 $10.72 Median $28.84 Typical High $51.29 | Facility | None | $10.72 | $28.84 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.13 | Professional | None | $10.72 | $10.72 | $14.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $40.74 | Facility | None | $10.23 | $14.79 | $40.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.50 Median $13.49 Typical High $34.67 | Professional | None | $5.50 | $13.49 | $34.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $14.79 Median $33.88 Typical High $48.98 | Facility | None | $14.79 | $33.88 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $14.45 | Professional | None | $12.88 | $13.18 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.50 Typical High $35.48 | Facility | None | $8.91 | $19.50 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $53.70 | Professional | None | $9.33 | $16.60 | $53.70 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $22.91 Typical High $4,897.79 | Facility | None | $16.22 | $22.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | None | $19.50 | $19.50 | $22.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.50 Median $13.49 Typical High $52.48 | Professional | None | $5.50 | $13.49 | $52.48 |
Health New England Setting Facility Modifier None Typical Low $14.79 Median $20.42 Typical High $64.57 | Facility | None | $14.79 | $20.42 | $64.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $40.74 | Facility | None | $10.23 | $14.79 | $40.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.50 Median $13.49 Typical High $34.67 | Professional | None | $5.50 | $13.49 | $34.67 |
Tufts Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $21.88 | Professional | None | $11.48 | $12.02 | $21.88 |
United Setting Facility Modifier None Typical Low $12.30 Median $13.49 Typical High $16.22 | Facility | None | $12.30 | $13.49 | $16.22 |
United Setting Professional Modifier None Typical Low $3.16 Median $8.13 Typical High $28.84 | Professional | None | $3.16 | $8.13 | $28.84 |
Well Sense Setting Facility Modifier None Typical Low $11.75 Median $15.14 Typical High $23.99 | Facility | None | $11.75 | $15.14 | $23.99 |
Well Sense Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
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 $5.37 Median $5.37 Typical High $7.08 | Professional | 52 · Reduced service | $5.37 | $5.37 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.82 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.82 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.49 Median $17.78 Typical High $20.89 | Facility | QW · Waived lab test | $13.49 | $17.78 | $20.89 |
Where Massachusetts sits
The same service costs 4.6 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· 19th of 51
$14.45
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.