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 $7.08 Median $31.62 Typical High $67.61 | Facility | None | $7.08 | $31.62 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.51 | Professional | None | $7.08 | $7.08 | $8.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.41 Median $10.47 Typical High $29.51 | Facility | None | $7.41 | $10.47 | $29.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.07 Median $10.00 Typical High $25.70 | Professional | None | $4.07 | $10.00 | $25.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.23 Median $19.95 Typical High $30.90 | Facility | None | $10.23 | $19.95 | $30.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | None | $9.33 | $9.33 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $12.30 Typical High $21.38 | Facility | None | $6.61 | $12.30 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $12.30 Typical High $39.81 | Professional | None | $5.89 | $12.30 | $39.81 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $16.98 Typical High $4,897.79 | Facility | None | $10.72 | $16.98 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | None | $14.45 | $14.45 | $16.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.07 Median $10.00 Typical High $34.67 | Professional | None | $4.07 | $10.00 | $34.67 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.41 Median $10.47 Typical High $29.51 | Facility | None | $7.41 | $10.47 | $29.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.07 Median $10.00 Typical High $25.70 | Professional | None | $4.07 | $10.00 | $25.70 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.00 Typical High $12.02 | Facility | None | $9.12 | $10.00 | $12.02 |
United Setting Professional Modifier None Typical Low $3.16 Median $6.03 Typical High $21.38 | Professional | None | $3.16 | $6.03 | $21.38 |
Well Sense Setting Facility Modifier None Typical Low $7.76 Median $11.22 Typical High $17.78 | Facility | None | $7.76 | $11.22 | $17.78 |
Well Sense Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $9.33 | Professional | None | $7.76 | $7.76 | $9.33 |
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 $3.55 Median $3.55 Typical High $4.17 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.70 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.70 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $10.00 Median $13.18 Typical High $15.49 | Facility | QW · Waived lab test | $10.00 | $13.18 | $15.49 |
Where Massachusetts sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 22nd of 51
$10.23
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.