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 $4.57 Median $9.33 Typical High $20.42 | Facility | None | $4.57 | $9.33 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $7.08 | Professional | None | $4.68 | $4.68 | $7.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.80 Median $5.62 Typical High $15.49 | Facility | None | $3.80 | $5.62 | $15.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $5.01 Typical High $12.88 | Professional | None | $2.09 | $5.01 | $12.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.92 Median $12.30 Typical High $20.89 | Facility | None | $6.92 | $12.30 | $20.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.79 Median $5.01 Typical High $6.17 | Professional | None | $4.79 | $5.01 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $6.92 Typical High $12.59 | Facility | None | $3.31 | $6.92 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.17 Typical High $19.05 | Professional | None | $3.31 | $6.17 | $19.05 |
Fallon Health Setting Facility Modifier None Typical Low $5.62 Median $8.51 Typical High $4,897.79 | Facility | None | $5.62 | $8.51 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.51 | Professional | None | $7.24 | $7.24 | $8.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.09 Median $5.01 Typical High $19.05 | Professional | None | $2.09 | $5.01 | $19.05 |
Health New England Setting Facility Modifier None Typical Low $6.03 Median $10.96 Typical High $51.29 | Facility | None | $6.03 | $10.96 | $51.29 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.80 Median $5.62 Typical High $15.49 | Facility | None | $3.80 | $5.62 | $15.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $5.01 Typical High $12.88 | Professional | None | $2.09 | $5.01 | $12.88 |
Tufts Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $7.76 | Facility | None | $5.01 | $6.03 | $7.76 |
Tufts Setting Professional Modifier None Typical Low $4.47 Median $5.01 Typical High $8.13 | Professional | None | $4.47 | $5.01 | $8.13 |
United Setting Facility Modifier None Typical Low $4.57 Median $5.01 Typical High $6.03 | Facility | None | $4.57 | $5.01 | $6.03 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.02 Typical High $10.72 | Professional | None | $2.04 | $3.02 | $10.72 |
Well Sense Setting Facility Modifier None Typical Low $4.47 Median $5.62 Typical High $8.91 | Facility | None | $4.47 | $5.62 | $8.91 |
Well Sense Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.03 | Professional | None | $5.13 | $5.13 | $6.03 |
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 $2.29 Median $2.29 Typical High $2.75 | Professional | 52 · Reduced service | $2.29 | $2.29 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.12 | Professional | 53 · Discontinued | $0.93 | $0.93 | $1.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.01 Median $6.61 Typical High $7.76 | Facility | QW · Waived lab test | $5.01 | $6.61 | $7.76 |
Where Massachusetts sits
The same service costs 9.3 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· 20th of 51
$5.75
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.