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 $17.78 Median $19.05 Typical High $89.13 | Facility | None | $17.78 | $19.05 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | None | $19.05 | $19.05 | $24.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $79.43 | Facility | None | $20.42 | $28.84 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $69.18 | Professional | None | $16.60 | $27.54 | $69.18 |
BCBS Setting Facility Modifier None Typical Low $28.18 Median $54.95 Typical High $87.10 | Facility | None | $28.18 | $54.95 | $87.10 |
BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $33.11 Typical High $57.54 | Facility | None | $18.20 | $33.11 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $33.11 Typical High $107.15 | Professional | None | $15.49 | $33.11 | $107.15 |
Fallon Health Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $4,897.79 | Facility | None | $25.12 | $45.71 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None | $38.90 | $38.90 | $45.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.49 Median $27.54 Typical High $95.50 | Professional | None | $13.49 | $27.54 | $95.50 |
Health New England Setting Facility Modifier None Typical Low $28.18 Median $33.11 Typical High $125.89 | Facility | None | $28.18 | $33.11 | $125.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $79.43 | Facility | None | $20.42 | $28.84 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $69.18 | Professional | None | $16.60 | $27.54 | $69.18 |
United Setting Facility Modifier None Typical Low $24.55 Median $27.54 Typical High $33.11 | Facility | None | $24.55 | $27.54 | $33.11 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $57.54 | Professional | None | $10.96 | $16.98 | $57.54 |
Well Sense Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $47.86 | Facility | None | $20.89 | $30.20 | $47.86 |
Well Sense Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | None | $20.89 | $20.89 | $25.12 |
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 $9.55 Median $9.55 Typical High $11.48 | Professional | 52 · Reduced service | $9.55 | $9.55 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $4.57 | Professional | 53 · Discontinued | $3.80 | $3.80 | $4.57 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $27.54 Median $35.48 Typical High $42.66 | Facility | QW · Waived lab test | $27.54 | $35.48 | $42.66 |
Where Massachusetts sits
The same service costs 3.5 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· 23rd of 51
$27.54
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.