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 $3.47 Median $15.49 Typical High $32.36 | Facility | None | $3.47 | $15.49 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.17 | Professional | None | $3.47 | $3.47 | $4.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.02 Median $4.37 Typical High $12.30 | Facility | None | $3.02 | $4.37 | $12.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $10.00 | Professional | None | $2.40 | $3.98 | $10.00 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.13 Median $9.33 Typical High $15.85 | Facility | None | $5.13 | $9.33 | $15.85 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.72 Median $3.89 Typical High $4.68 | Professional | None | $3.72 | $3.89 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.63 Median $5.50 Typical High $9.55 | Facility | None | $2.63 | $5.50 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.01 Typical High $15.14 | Professional | None | $2.51 | $5.01 | $15.14 |
Fallon Health Setting Facility Modifier None Typical Low $4.17 Median $6.76 Typical High $4,897.79 | Facility | None | $4.17 | $6.76 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | None | $5.75 | $5.75 | $6.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.00 Median $3.98 Typical High $14.13 | Professional | None | $2.00 | $3.98 | $14.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.02 Median $4.37 Typical High $12.30 | Facility | None | $3.02 | $4.37 | $12.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $10.00 | Professional | None | $2.40 | $3.98 | $10.00 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.98 Typical High $4.79 | Facility | None | $3.55 | $3.98 | $4.79 |
United Setting Professional Modifier None Typical Low $1.58 Median $3.09 Typical High $8.32 | Professional | None | $1.58 | $3.09 | $8.32 |
Well Sense Setting Facility Modifier None Typical Low $3.55 Median $4.37 Typical High $6.92 | Facility | None | $3.55 | $4.37 | $6.92 |
Well Sense Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $4.57 | Professional | None | $3.80 | $3.80 | $4.57 |
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 $1.74 Median $1.74 Typical High $2.09 | Professional | 52 · Reduced service | $1.74 | $1.74 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.83 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.83 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.98 Median $5.13 Typical High $6.17 | Facility | QW · Waived lab test | $3.98 | $5.13 | $6.17 |
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· 21st of 51
$4.37
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.