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 $11.48 Median $44.67 Typical High $114.82 | Facility | None | $11.48 | $44.67 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $28.84 | Professional | None | $23.99 | $24.55 | $28.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.05 Median $28.18 Typical High $81.28 | Facility | None | $19.05 | $28.18 | $81.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $11.48 Median $25.70 Typical High $64.57 | Professional | None | $11.48 | $25.70 | $64.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $36.31 Median $61.66 Typical High $109.65 | Facility | None | $36.31 | $61.66 | $109.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $32.36 | Professional | None | $23.99 | $25.12 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $36.31 Typical High $66.07 | Facility | None | $17.78 | $36.31 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $30.90 Typical High $100.00 | Professional | None | $17.38 | $30.90 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $4,897.79 | Facility | None | $36.31 | $42.66 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $11.48 Median $25.70 Typical High $100.00 | Professional | None | $11.48 | $25.70 | $100.00 |
Health New England Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $151.36 | Facility | None | $33.11 | $60.26 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.05 Median $28.18 Typical High $81.28 | Facility | None | $19.05 | $28.18 | $81.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $11.48 Median $25.70 Typical High $64.57 | Professional | None | $11.48 | $25.70 | $64.57 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $89.13 | Facility | None | $25.70 | $25.70 | $89.13 |
United Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $53.70 | Professional | None | $10.23 | $15.49 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $22.39 Median $28.18 Typical High $44.67 | Facility | None | $22.39 | $28.18 | $44.67 |
Well Sense Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | None | $26.92 | $26.92 | $31.62 |
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 $12.02 Median $12.02 Typical High $14.45 | Professional | 52 · Reduced service | $12.02 | $12.02 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.75 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $25.70 Median $33.11 Typical High $39.81 | Facility | QW · Waived lab test | $25.70 | $33.11 | $39.81 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 18th of 51
$28.84
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.