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 $10.96 Median $32.36 Typical High $52.48 | Facility | None | $10.96 | $32.36 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $13.18 | Professional | None | $10.96 | $10.96 | $13.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.71 Median $12.88 Typical High $37.15 | Facility | None | $8.71 | $12.88 | $37.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.92 Median $11.75 Typical High $29.51 | Professional | None | $6.92 | $11.75 | $29.51 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.60 Median $28.84 Typical High $50.12 | Facility | None | $16.60 | $28.84 | $50.12 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $14.79 | Professional | None | $10.96 | $11.48 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $16.60 Typical High $30.20 | Facility | None | $7.59 | $16.60 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.13 Typical High $45.71 | Professional | None | $7.94 | $14.13 | $45.71 |
Fallon Health Setting Facility Modifier None Typical Low $13.18 Median $19.50 Typical High $4,897.79 | Facility | None | $13.18 | $19.50 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | None | $16.60 | $16.60 | $19.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.75 Median $11.75 Typical High $44.67 | Professional | None | $5.75 | $11.75 | $44.67 |
Health New England Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.71 Median $12.88 Typical High $37.15 | Facility | None | $8.71 | $12.88 | $37.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.92 Median $11.75 Typical High $29.51 | Professional | None | $6.92 | $11.75 | $29.51 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $13.80 | Facility | None | $10.47 | $11.75 | $13.80 |
United Setting Professional Modifier None Typical Low $4.68 Median $8.91 Typical High $24.55 | Professional | None | $4.68 | $8.91 | $24.55 |
Well Sense Setting Facility Modifier None Typical Low $10.23 Median $12.88 Typical High $20.42 | Facility | None | $10.23 | $12.88 | $20.42 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
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 $5.50 Median $5.50 Typical High $6.61 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.63 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.63 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.75 Median $15.14 Typical High $18.20 | Facility | QW · Waived lab test | $11.75 | $15.14 | $18.20 |
Where Massachusetts sits
The same service costs 5.0 times more in Kansas than in Texas. 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· 17th of 51
$13.80
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.