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 $32.36 Typical High $151.36 | Facility | None | $11.75 | $32.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.90 | Professional | None | $32.36 | $32.36 | $38.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $107.15 | Facility | None | $25.70 | $37.15 | $107.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.80 Median $33.88 Typical High $85.11 | Professional | None | $13.80 | $33.88 | $85.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $144.54 | Facility | None | $47.86 | $83.18 | $144.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $43.65 | Professional | None | $31.62 | $33.11 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $48.98 Typical High $87.10 | Facility | None | $22.39 | $48.98 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $131.83 | Professional | None | $23.44 | $41.69 | $131.83 |
Fallon Health Setting Facility Modifier None Typical Low $48.98 Median $57.54 Typical High $4,897.79 | Facility | None | $48.98 | $57.54 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.80 Median $33.88 Typical High $131.83 | Professional | None | $13.80 | $33.88 | $131.83 |
Health New England Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $41.69 | Facility | None | $30.20 | $30.20 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $107.15 | Facility | None | $25.70 | $37.15 | $107.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.80 Median $33.88 Typical High $85.11 | Professional | None | $13.80 | $33.88 | $85.11 |
United Setting Facility Modifier None Typical Low $30.90 Median $33.88 Typical High $40.74 | Facility | None | $30.90 | $33.88 | $40.74 |
United Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $72.44 | Professional | None | $13.49 | $20.42 | $72.44 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $37.15 Typical High $58.88 | Facility | None | $30.20 | $37.15 | $58.88 |
Well Sense Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None | $35.48 | $35.48 | $42.66 |
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 $16.22 Median $16.22 Typical High $19.50 | Professional | 52 · Reduced service | $16.22 | $16.22 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.76 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.76 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $33.88 Median $43.65 Typical High $52.48 | Facility | QW · Waived lab test | $33.88 | $43.65 | $52.48 |
Where Massachusetts sits
The same service costs 4.4 times more in Kansas than in Alabama. 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
$37.15
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.