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 $16.98 Median $51.29 Typical High $79.43 | Facility | None | $16.98 | $51.29 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.99 | Professional | None | $16.98 | $16.98 | $23.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $77.62 | Facility | None | $19.50 | $28.18 | $77.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.79 Median $25.12 Typical High $67.61 | Professional | None | $14.79 | $25.12 | $67.61 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $52.48 Typical High $75.86 | Facility | None | $25.12 | $52.48 | $75.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $25.12 | Professional | None | $22.91 | $22.91 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $56.23 | Facility | None | $17.38 | $30.20 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $32.36 Typical High $104.71 | Professional | None | $13.80 | $32.36 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $44.67 Typical High $4,897.79 | Facility | None | $25.70 | $44.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.88 Median $26.92 Typical High $91.20 | Professional | None | $12.88 | $26.92 | $91.20 |
Health New England Setting Facility Modifier None Typical Low $16.98 Median $23.44 Typical High $204.17 | Facility | None | $16.98 | $23.44 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.50 Median $28.18 Typical High $77.62 | Facility | None | $19.50 | $28.18 | $77.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.79 Median $25.12 Typical High $67.61 | Professional | None | $14.79 | $25.12 | $67.61 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $32.36 | Facility | None | $23.99 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $56.23 | Professional | None | $10.72 | $15.85 | $56.23 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $29.51 Typical High $46.77 | Facility | None | $18.62 | $29.51 | $46.77 |
Well Sense Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | None | $18.62 | $18.62 | $22.39 |
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 $8.51 Median $8.51 Typical High $10.23 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.07 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.92 Median $34.67 Typical High $41.69 | Facility | QW · Waived lab test | $26.92 | $34.67 | $41.69 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$26.92
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.