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 $12.30 Median $41.69 Typical High $57.54 | Facility | None | $12.30 | $41.69 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $19.95 | Professional | None | $12.30 | $12.30 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.96 Median $15.85 Typical High $44.67 | Facility | None | $10.96 | $15.85 | $44.67 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $36.31 | Professional | None | $8.71 | $14.45 | $36.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.20 Median $31.62 Typical High $54.95 | Facility | None | $18.20 | $31.62 | $54.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $16.60 | Professional | None | $13.49 | $14.13 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $19.50 Typical High $33.11 | Facility | None | $9.55 | $19.50 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $17.78 Typical High $56.23 | Professional | None | $8.71 | $17.78 | $56.23 |
Fallon Health Setting Facility Modifier None Typical Low $19.95 Median $23.99 Typical High $4,897.79 | Facility | None | $19.95 | $23.99 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.24 Median $14.45 Typical High $50.12 | Professional | None | $7.24 | $14.45 | $50.12 |
Health New England Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $60.26 | Facility | None | $16.60 | $18.20 | $60.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.96 Median $15.85 Typical High $44.67 | Facility | None | $10.96 | $15.85 | $44.67 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $36.31 | Professional | None | $8.71 | $14.45 | $36.31 |
Tufts Setting Professional Modifier None Typical Low $12.88 Median $13.18 Typical High $22.91 | Professional | None | $12.88 | $13.18 | $22.91 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $30.20 | Facility | None | $14.45 | $14.45 | $30.20 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.72 Typical High $30.20 | Professional | None | $5.75 | $10.72 | $30.20 |
Well Sense Setting Facility Modifier None Typical Low $12.88 Median $15.85 Typical High $25.12 | Facility | None | $12.88 | $15.85 | $25.12 |
Well Sense Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
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 $6.17 Median $6.17 Typical High $7.41 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $18.62 Typical High $22.39 | Facility | QW · Waived lab test | $14.45 | $18.62 | $22.39 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$15.85
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.