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 $6.17 Median $22.91 Typical High $28.84 | Facility | None | $6.17 | $22.91 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $8.13 | Professional | None | $6.17 | $6.17 | $8.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.03 Median $8.51 Typical High $23.99 | Facility | None | $6.03 | $8.51 | $23.99 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.24 Median $8.13 Typical High $20.42 | Professional | None | $3.24 | $8.13 | $20.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $8.51 Median $17.38 Typical High $25.70 | Facility | None | $8.51 | $17.38 | $25.70 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.59 Median $7.94 Typical High $8.32 | Professional | None | $7.59 | $7.94 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $10.47 Typical High $18.20 | Facility | None | $5.37 | $10.47 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $31.62 | Professional | None | $5.01 | $10.00 | $31.62 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $13.49 Typical High $4,897.79 | Facility | None | $11.48 | $13.49 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.24 Median $8.13 Typical High $28.18 | Professional | None | $3.24 | $8.13 | $28.18 |
Health New England Setting Facility Modifier None Typical Low $6.31 Median $8.51 Typical High $14.45 | Facility | None | $6.31 | $8.51 | $14.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.03 Median $8.51 Typical High $23.99 | Facility | None | $6.03 | $8.51 | $23.99 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.24 Median $8.13 Typical High $20.42 | Professional | None | $3.24 | $8.13 | $20.42 |
United Setting Facility Modifier None Typical Low $7.24 Median $8.13 Typical High $9.77 | Facility | None | $7.24 | $8.13 | $9.77 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.90 Typical High $16.98 | Professional | None | $3.16 | $4.90 | $16.98 |
Well Sense Setting Facility Modifier None Typical Low $6.76 Median $8.91 Typical High $14.13 | Facility | None | $6.76 | $8.91 | $14.13 |
Well Sense Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $8.13 | Professional | None | $6.76 | $6.76 | $8.13 |
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 $3.09 Median $3.09 Typical High $3.98 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.58 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.58 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.13 Median $10.47 Typical High $12.59 | Facility | QW · Waived lab test | $8.13 | $10.47 | $12.59 |
Where Massachusetts sits
The same service costs 8.3 times more in Kansas than in New Jersey. 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
$8.32
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.