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 $9.77 Median $18.20 Typical High $85.11 | Facility | None | $9.77 | $18.20 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | None | $18.20 | $18.20 | $21.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $64.57 | Facility | None | $15.85 | $23.44 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.51 Median $21.38 Typical High $53.70 | Professional | None | $8.51 | $21.38 | $53.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $81.28 | Facility | None | $26.92 | $46.77 | $81.28 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $24.55 | Professional | None | $19.95 | $20.89 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $28.84 Typical High $50.12 | Facility | None | $14.13 | $28.84 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $26.30 Typical High $83.18 | Professional | None | $13.18 | $26.30 | $83.18 |
Fallon Health Setting Facility Modifier None Typical Low $21.88 Median $36.31 Typical High $4,897.79 | Facility | None | $21.88 | $36.31 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.51 Median $21.38 Typical High $74.13 | Professional | None | $8.51 | $21.38 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $64.57 | Facility | None | $15.85 | $23.44 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.51 Median $21.38 Typical High $53.70 | Professional | None | $8.51 | $21.38 | $53.70 |
United Setting Facility Modifier None Typical Low $19.05 Median $21.38 Typical High $25.70 | Facility | None | $19.05 | $21.38 | $25.70 |
United Setting Professional Modifier None Typical Low $6.31 Median $12.88 Typical High $44.67 | Professional | None | $6.31 | $12.88 | $44.67 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $23.44 Typical High $37.15 | Facility | None | $18.62 | $23.44 | $37.15 |
Well Sense Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
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 $9.12 Median $9.12 Typical High $10.96 | Professional | 52 · Reduced service | $9.12 | $9.12 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.37 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.37 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $21.38 Median $27.54 Typical High $33.11 | Facility | QW · Waived lab test | $21.38 | $27.54 | $33.11 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 20th of 51
$22.91
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.