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 $18.62 Median $23.99 Typical High $87.10 | Facility | None | $18.62 | $23.99 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | None | $18.62 | $18.62 | $22.39 |
AllWays Health Partners Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $114.82 | Facility | None | $28.84 | $40.74 | $114.82 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $97.72 | Professional | None | $15.49 | $34.67 | $97.72 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $77.62 Typical High $112.20 | Facility | None | $27.54 | $77.62 | $112.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | None | $25.12 | $25.12 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $75.86 | Facility | None | $21.88 | $33.11 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $46.77 Typical High $151.36 | Professional | None | $15.14 | $46.77 | $151.36 |
Fallon Health Setting Facility Modifier None Typical Low $28.18 Median $66.07 Typical High $4,897.79 | Facility | None | $28.18 | $66.07 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None | $56.23 | $56.23 | $66.07 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.49 Median $38.90 Typical High $134.90 | Professional | None | $15.49 | $38.90 | $134.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $114.82 | Facility | None | $28.84 | $40.74 | $114.82 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $97.72 | Professional | None | $15.49 | $34.67 | $97.72 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $60.26 | Facility | None | $38.90 | $38.90 | $60.26 |
United Setting Professional Modifier None Typical Low $2.09 Median $23.44 Typical High $81.28 | Professional | None | $2.09 | $23.44 | $81.28 |
Well Sense Setting Facility Modifier None Typical Low $20.42 Median $42.66 Typical High $67.61 | Facility | None | $20.42 | $42.66 | $67.61 |
Well Sense Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | None | $20.42 | $20.42 | $24.55 |
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 $9.33 Median $9.33 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.47 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $38.90 Median $51.29 Typical High $60.26 | Facility | QW · Waived lab test | $38.90 | $51.29 | $60.26 |
Where Massachusetts sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 21st of 51
$38.90
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.