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 $5.25 Median $10.47 Typical High $43.65 | Facility | None | $5.25 | $10.47 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $6.17 | Professional | None | $5.13 | $5.25 | $6.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.17 Median $6.03 Typical High $17.38 | Facility | None | $4.17 | $6.03 | $17.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.31 Median $5.50 Typical High $14.79 | Professional | None | $3.31 | $5.50 | $14.79 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.76 Median $13.49 Typical High $23.44 | Facility | None | $7.76 | $13.49 | $23.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.13 Median $5.37 Typical High $7.08 | Professional | None | $5.13 | $5.37 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $7.94 Typical High $14.13 | Facility | None | $3.80 | $7.94 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $6.46 Typical High $21.88 | Professional | None | $3.98 | $6.46 | $21.88 |
Fallon Health Setting Facility Modifier None Typical Low $6.31 Median $8.91 Typical High $4,897.79 | Facility | None | $6.31 | $8.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | None | $7.59 | $7.59 | $8.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.75 Median $5.50 Typical High $21.38 | Professional | None | $2.75 | $5.50 | $21.38 |
Health New England Setting Facility Modifier None Typical Low $12.30 Median $12.59 Typical High $63.10 | Facility | None | $12.30 | $12.59 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.17 Median $6.03 Typical High $17.38 | Facility | None | $4.17 | $6.03 | $17.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.31 Median $5.50 Typical High $14.79 | Professional | None | $3.31 | $5.50 | $14.79 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $10.47 | Facility | None | $5.50 | $5.50 | $10.47 |
United Setting Professional Modifier None Typical Low $2.19 Median $4.27 Typical High $22.91 | Professional | None | $2.19 | $4.27 | $22.91 |
Well Sense Setting Facility Modifier None Typical Low $4.79 Median $6.03 Typical High $9.55 | Facility | None | $4.79 | $6.03 | $9.55 |
Well Sense Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.92 | Professional | None | $5.75 | $5.75 | $6.92 |
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 $2.63 Median $2.63 Typical High $3.09 | Professional | 52 · Reduced service | $2.63 | $2.63 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $1.23 | Professional | 53 · Discontinued | $1.05 | $1.05 | $1.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.50 Median $7.08 Typical High $8.51 | Facility | QW · Waived lab test | $5.50 | $7.08 | $8.51 |
Where Massachusetts sits
The same service costs 2.9 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· 26th of 51
$6.03
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.