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 $3.55 Median $10.72 Typical High $16.98 | Facility | None | $3.55 | $10.72 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.89 | Professional | None | $3.55 | $3.55 | $3.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.80 Median $5.37 Typical High $15.14 | Facility | None | $3.80 | $5.37 | $15.14 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $5.13 Typical High $12.88 | Professional | None | $2.09 | $5.13 | $12.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.37 Median $10.00 Typical High $16.22 | Facility | None | $5.37 | $10.00 | $16.22 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $6.31 Typical High $10.72 | Facility | None | $3.39 | $6.31 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $6.17 Typical High $20.42 | Professional | None | $2.88 | $6.17 | $20.42 |
Fallon Health Setting Facility Modifier None Typical Low $5.37 Median $8.51 Typical High $4,897.79 | Facility | None | $5.37 | $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 $5.13 Typical High $17.78 | Professional | None | $2.09 | $5.13 | $17.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.80 Median $5.37 Typical High $15.14 | Facility | None | $3.80 | $5.37 | $15.14 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $5.13 Typical High $12.88 | Professional | None | $2.09 | $5.13 | $12.88 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $8.91 | Facility | None | $5.13 | $5.13 | $8.91 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.09 Typical High $10.72 | Professional | None | $2.04 | $3.09 | $10.72 |
Well Sense Setting Facility Modifier None Typical Low $3.89 Median $5.62 Typical High $8.91 | Facility | None | $3.89 | $5.62 | $8.91 |
Well Sense Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $4.68 | Professional | None | $3.89 | $3.89 | $4.68 |
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 $1.78 Median $1.78 Typical High $1.95 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $0.78 | Professional | 53 · Discontinued | $0.72 | $0.72 | $0.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.13 Median $6.61 Typical High $7.94 | Facility | QW · Waived lab test | $5.13 | $6.61 | $7.94 |
Where Massachusetts sits
The same service costs 3.7 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· 18th of 51
$5.25
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.