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 $20.89 Median $28.18 Typical High $93.33 | Facility | None | $20.89 | $28.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | None | $20.89 | $20.89 | $25.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $70.79 | Facility | None | $16.60 | $23.99 | $70.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $54.95 | Professional | None | $13.18 | $21.88 | $54.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $30.90 Median $53.70 Typical High $93.33 | Facility | None | $30.90 | $53.70 | $93.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $28.18 | Professional | None | $20.89 | $21.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $57.54 | Facility | None | $14.45 | $31.62 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $26.92 Typical High $85.11 | Professional | None | $15.14 | $26.92 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $4,897.79 | Facility | None | $31.62 | $37.15 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None | $31.62 | $31.62 | $37.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $85.11 | Professional | None | $10.96 | $21.88 | $85.11 |
Health New England Setting Facility Modifier None Typical Low $28.18 Median $57.54 Typical High $257.04 | Facility | None | $28.18 | $57.54 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.60 Median $23.99 Typical High $70.79 | Facility | None | $16.60 | $23.99 | $70.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $54.95 | Professional | None | $13.18 | $21.88 | $54.95 |
Tufts Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $35.48 | Professional | None | $19.50 | $22.91 | $35.48 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $75.86 | Facility | None | $21.88 | $21.88 | $75.86 |
United Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $46.77 | Professional | None | $8.71 | $16.98 | $46.77 |
Well Sense Setting Facility Modifier None Typical Low $19.50 Median $23.99 Typical High $38.02 | Facility | None | $19.50 | $23.99 | $38.02 |
Well Sense Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None | $22.91 | $22.91 | $27.54 |
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 $10.47 Median $10.47 Typical High $12.59 | Professional | 52 · Reduced service | $10.47 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $5.01 | Professional | 53 · Discontinued | $4.17 | $4.17 | $5.01 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $21.88 Median $28.84 Typical High $33.88 | Facility | QW · Waived lab test | $21.88 | $28.84 | $33.88 |
Where Massachusetts sits
The same service costs 13.5 times more in Vermont than in Maryland. 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· 22nd of 51
$25.12
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.