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 $8.13 Median $23.99 Typical High $38.90 | Facility | None | $8.13 | $23.99 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | None | $8.13 | $8.13 | $9.77 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.24 Median $10.72 Typical High $29.51 | Facility | None | $7.24 | $10.72 | $29.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $24.55 | Professional | None | $5.89 | $9.77 | $24.55 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.30 Median $20.89 Typical High $37.15 | Facility | None | $12.30 | $20.89 | $37.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.12 Median $9.55 Typical High $10.96 | Professional | None | $9.12 | $9.55 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $12.88 Typical High $22.91 | Facility | None | $6.46 | $12.88 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $38.02 | Professional | None | $6.03 | $12.02 | $38.02 |
Fallon Health Setting Facility Modifier None Typical Low $10.47 Median $16.22 Typical High $4,897.79 | Facility | None | $10.47 | $16.22 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.90 Median $9.77 Typical High $33.88 | Professional | None | $4.90 | $9.77 | $33.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.24 Median $10.72 Typical High $29.51 | Facility | None | $7.24 | $10.72 | $29.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $24.55 | Professional | None | $5.89 | $9.77 | $24.55 |
United Setting Facility Modifier None Typical Low $8.71 Median $9.77 Typical High $11.75 | Facility | None | $8.71 | $9.77 | $11.75 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.31 Typical High $20.42 | Professional | None | $3.89 | $6.31 | $20.42 |
Well Sense Setting Facility Modifier None Typical Low $8.51 Median $10.72 Typical High $16.98 | Facility | None | $8.51 | $10.72 | $16.98 |
Well Sense Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.72 | Professional | None | $8.91 | $8.91 | $10.72 |
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 $4.07 Median $4.07 Typical High $4.90 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $9.77 Median $12.59 Typical High $15.14 | Facility | QW · Waived lab test | $9.77 | $12.59 | $15.14 |
Where Massachusetts sits
The same service costs 3.6 times more in Kansas 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
$10.72
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.