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 $20.42 Median $22.39 Typical High $104.71 | Facility | None | $20.42 | $22.39 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $26.92 | Professional | None | $22.39 | $22.39 | $26.92 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $77.62 | Facility | None | $19.05 | $27.54 | $77.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.00 Median $25.12 Typical High $63.10 | Professional | None | $10.00 | $25.12 | $63.10 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $100.00 | Facility | None | $33.11 | $57.54 | $100.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $30.20 | Professional | None | $23.44 | $24.55 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $34.67 Typical High $61.66 | Facility | None | $16.60 | $34.67 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $30.90 Typical High $97.72 | Professional | None | $16.22 | $30.90 | $97.72 |
Fallon Health Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $4,897.79 | Facility | None | $33.88 | $42.66 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None | $35.48 | $35.48 | $42.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.00 Median $25.12 Typical High $91.20 | Professional | None | $10.00 | $25.12 | $91.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $77.62 | Facility | None | $19.05 | $27.54 | $77.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.00 Median $25.12 Typical High $63.10 | Professional | None | $10.00 | $25.12 | $63.10 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $83.18 | Facility | None | $25.12 | $25.12 | $83.18 |
United Setting Professional Modifier None Typical Low $3.16 Median $15.14 Typical High $52.48 | Professional | None | $3.16 | $15.14 | $52.48 |
Well Sense Setting Facility Modifier None Typical Low $22.39 Median $27.54 Typical High $43.65 | Facility | None | $22.39 | $27.54 | $43.65 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None | $24.55 | $24.55 | $29.51 |
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 $11.22 Median $11.22 Typical High $13.49 | Professional | 52 · Reduced service | $11.22 | $11.22 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $5.37 | Professional | 53 · Discontinued | $4.47 | $4.47 | $5.37 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $25.12 Median $33.11 Typical High $38.90 | Facility | QW · Waived lab test | $25.12 | $33.11 | $38.90 |
Where Massachusetts sits
The same service costs 3.5 times more in Kansas 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· 19th of 51
$27.54
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.