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 $3.09 Median $10.72 Typical High $14.45 | Facility | None | $3.09 | $10.72 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.72 | Professional | None | $3.09 | $3.09 | $3.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.31 Median $4.68 Typical High $13.18 | Facility | None | $3.31 | $4.68 | $13.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.69 Median $4.47 Typical High $11.22 | Professional | None | $2.69 | $4.47 | $11.22 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4.57 Median $8.51 Typical High $13.80 | Facility | None | $4.57 | $8.51 | $13.80 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $5.50 Typical High $9.55 | Facility | None | $2.95 | $5.50 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.37 Typical High $17.78 | Professional | None | $2.51 | $5.37 | $17.78 |
Fallon Health Setting Facility Modifier None Typical Low $4.68 Median $7.24 Typical High $4,897.79 | Facility | None | $4.68 | $7.24 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | None | $6.17 | $6.17 | $7.24 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.19 Median $4.47 Typical High $15.49 | Professional | None | $2.19 | $4.47 | $15.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.31 Median $4.68 Typical High $13.18 | Facility | None | $3.31 | $4.68 | $13.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.69 Median $4.47 Typical High $11.22 | Professional | None | $2.69 | $4.47 | $11.22 |
United Setting Facility Modifier None Typical Low $3.98 Median $4.47 Typical High $5.37 | Facility | None | $3.98 | $4.47 | $5.37 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.69 Typical High $9.33 | Professional | None | $1.78 | $2.69 | $9.33 |
Well Sense Setting Facility Modifier None Typical Low $3.39 Median $4.90 Typical High $7.76 | Facility | None | $3.39 | $4.90 | $7.76 |
Well Sense Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.07 | Professional | None | $3.39 | $3.39 | $4.07 |
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 $1.55 Median $1.55 Typical High $1.86 | Professional | 52 · Reduced service | $1.55 | $1.55 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.74 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.74 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4.47 Median $5.75 Typical High $6.92 | Facility | QW · Waived lab test | $4.47 | $5.75 | $6.92 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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· 21st of 51
$4.57
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.