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 $7.94 Median $20.89 Typical High $38.02 | Facility | None | $7.94 | $20.89 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $8.71 | Professional | None | $7.94 | $7.94 | $8.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.31 Median $9.33 Typical High $26.92 | Facility | None | $6.31 | $9.33 | $26.92 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $21.38 | Professional | None | $5.01 | $8.51 | $21.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.02 Median $20.89 Typical High $36.31 | Facility | None | $12.02 | $20.89 | $36.31 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $10.72 | Professional | None | $7.94 | $8.32 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $12.02 Typical High $22.91 | Facility | None | $5.50 | $12.02 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $33.11 | Professional | None | $5.13 | $10.23 | $33.11 |
Fallon Health Setting Facility Modifier None Typical Low $12.02 Median $14.13 Typical High $4,897.79 | Facility | None | $12.02 | $14.13 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | None | $12.02 | $12.02 | $14.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.27 Median $8.51 Typical High $33.11 | Professional | None | $4.27 | $8.51 | $33.11 |
Health New England Setting Facility Modifier None Typical Low $7.59 Median $10.23 Typical High $83.18 | Facility | None | $7.59 | $10.23 | $83.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.31 Median $9.33 Typical High $26.92 | Facility | None | $6.31 | $9.33 | $26.92 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $21.38 | Professional | None | $5.01 | $8.51 | $21.38 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $18.20 | Facility | None | $8.51 | $8.51 | $18.20 |
United Setting Professional Modifier None Typical Low $3.39 Median $6.46 Typical High $17.78 | Professional | None | $3.39 | $6.46 | $17.78 |
Well Sense Setting Facility Modifier None Typical Low $7.41 Median $9.33 Typical High $14.79 | Facility | None | $7.41 | $9.33 | $14.79 |
Well Sense Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.47 | Professional | None | $8.71 | $8.71 | $10.47 |
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 $3.98 Median $3.98 Typical High $4.37 | Professional | 52 · Reduced service | $3.98 | $3.98 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.78 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.51 Median $10.96 Typical High $13.18 | Facility | QW · Waived lab test | $8.51 | $10.96 | $13.18 |
Where Massachusetts sits
The same service costs 4.0 times more in Kansas than in Maryland. 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· 18th of 51
$9.33
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.