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 $4.90 Median $21.88 Typical High $52.48 | Facility | None | $4.90 | $21.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.89 | Professional | None | $4.90 | $4.90 | $5.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.17 Median $6.17 Typical High $17.38 | Facility | None | $4.17 | $6.17 | $17.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.39 Median $5.62 Typical High $14.13 | Professional | None | $3.39 | $5.62 | $14.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.24 Median $12.88 Typical High $22.39 | Facility | None | $7.24 | $12.88 | $22.39 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.25 Median $5.50 Typical High $6.61 | Professional | None | $5.25 | $5.50 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $7.59 Typical High $13.49 | Facility | None | $3.72 | $7.59 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $7.08 Typical High $21.88 | Professional | None | $3.47 | $7.08 | $21.88 |
Fallon Health Setting Facility Modifier None Typical Low $7.41 Median $9.55 Typical High $4,897.79 | Facility | None | $7.41 | $9.55 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.82 Median $5.62 Typical High $19.95 | Professional | None | $2.82 | $5.62 | $19.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.17 Median $6.17 Typical High $17.38 | Facility | None | $4.17 | $6.17 | $17.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.39 Median $5.62 Typical High $14.13 | Professional | None | $3.39 | $5.62 | $14.13 |
United Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $10.47 | Facility | None | $5.62 | $5.62 | $10.47 |
United Setting Professional Modifier None Typical Low $2.24 Median $4.37 Typical High $11.75 | Professional | None | $2.24 | $4.37 | $11.75 |
Well Sense Setting Facility Modifier None Typical Low $4.90 Median $6.17 Typical High $9.77 | Facility | None | $4.90 | $6.17 | $9.77 |
Well Sense Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $6.46 | Professional | None | $5.37 | $5.37 | $6.46 |
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 $2.45 Median $2.45 Typical High $2.95 | Professional | 52 · Reduced service | $2.45 | $2.45 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.17 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.17 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.62 Median $7.24 Typical High $8.71 | Facility | QW · Waived lab test | $5.62 | $7.24 | $8.71 |
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· 20th of 51
$6.17
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.