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 $11.75 Median $18.20 Typical High $85.11 | Facility | None | $11.75 | $18.20 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $32.36 | Professional | None | $18.20 | $18.20 | $32.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $26.30 Median $38.02 Typical High $102.33 | Facility | None | $26.30 | $38.02 | $102.33 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.13 Median $30.90 Typical High $89.13 | Professional | None | $14.13 | $30.90 | $89.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $138.04 | Facility | None | $69.18 | $97.72 | $138.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $47.86 Typical High $91.20 | Facility | None | $23.44 | $47.86 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $138.04 | Professional | None | $21.38 | $42.66 | $138.04 |
Fallon Health Setting Facility Modifier None Typical Low $27.54 Median $60.26 Typical High $4,897.79 | Facility | None | $27.54 | $60.26 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None | $51.29 | $51.29 | $60.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.13 Median $35.48 Typical High $134.90 | Professional | None | $14.13 | $35.48 | $134.90 |
Health New England Setting Facility Modifier None Typical Low $25.12 Median $31.62 Typical High $81.28 | Facility | None | $25.12 | $31.62 | $81.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $26.30 Median $38.02 Typical High $102.33 | Facility | None | $26.30 | $38.02 | $102.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.13 Median $30.90 Typical High $89.13 | Professional | None | $14.13 | $30.90 | $89.13 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $48.98 | Facility | None | $35.48 | $35.48 | $48.98 |
United Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $74.13 | Professional | None | $13.80 | $21.38 | $74.13 |
Well Sense Setting Facility Modifier None Typical Low $19.95 Median $38.90 Typical High $61.66 | Facility | None | $19.95 | $38.90 | $61.66 |
Well Sense Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
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 $9.12 Median $9.12 Typical High $15.85 | Professional | 52 · Reduced service | $9.12 | $9.12 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $6.31 | Professional | 53 · Discontinued | $3.63 | $3.63 | $6.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $35.48 Median $45.71 Typical High $54.95 | Facility | QW · Waived lab test | $35.48 | $45.71 | $54.95 |
Where Massachusetts sits
The same service costs 4.3 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· 22nd of 51
$35.48
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.