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 $10.96 Median $17.78 Typical High $51.29 | Facility | None | $10.96 | $17.78 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $12.02 | Professional | None | $10.47 | $10.96 | $12.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.71 Median $12.59 Typical High $36.31 | Facility | None | $8.71 | $12.59 | $36.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.57 Median $11.48 Typical High $28.84 | Professional | None | $4.57 | $11.48 | $28.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.85 Median $28.18 Typical High $47.86 | Facility | None | $15.85 | $28.18 | $47.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $14.79 | Professional | None | $10.96 | $11.22 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $16.60 Typical High $30.20 | Facility | None | $7.59 | $16.60 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.13 Typical High $44.67 | Professional | None | $7.94 | $14.13 | $44.67 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $19.50 Typical High $4,897.79 | Facility | None | $16.60 | $19.50 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | None | $16.60 | $16.60 | $19.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.57 Median $11.48 Typical High $44.67 | Professional | None | $4.57 | $11.48 | $44.67 |
Health New England Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.71 Median $12.59 Typical High $36.31 | Facility | None | $8.71 | $12.59 | $36.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.57 Median $11.48 Typical High $28.84 | Professional | None | $4.57 | $11.48 | $28.84 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.48 Typical High $13.80 | Facility | None | $10.47 | $11.48 | $13.80 |
United Setting Professional Modifier None Typical Low $3.16 Median $6.92 Typical High $24.55 | Professional | None | $3.16 | $6.92 | $24.55 |
Well Sense Setting Facility Modifier None Typical Low $10.23 Median $12.59 Typical High $19.95 | Facility | None | $10.23 | $12.59 | $19.95 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
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 $5.50 Median $5.50 Typical High $6.03 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.40 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.40 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.48 Median $15.14 Typical High $17.78 | Facility | QW · Waived lab test | $11.48 | $15.14 | $17.78 |
Where Massachusetts sits
The same service costs 4.8 times more in Kansas than in Nebraska. 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
$12.59
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.