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 $11.22 Median $30.20 Typical High $52.48 | Facility | None | $11.22 | $30.20 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.49 | Professional | None | $11.22 | $11.22 | $13.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.77 Median $14.13 Typical High $39.81 | Facility | None | $9.77 | $14.13 | $39.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.41 Median $12.88 Typical High $32.36 | Professional | None | $7.41 | $12.88 | $32.36 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.60 Median $29.51 Typical High $51.29 | Facility | None | $16.60 | $29.51 | $51.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $15.14 | Professional | None | $12.02 | $12.59 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $17.78 Typical High $30.90 | Facility | None | $8.51 | $17.78 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.85 Typical High $50.12 | Professional | None | $8.13 | $15.85 | $50.12 |
Fallon Health Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $4,897.79 | Facility | None | $16.98 | $21.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $45.71 | Professional | None | $6.46 | $12.88 | $45.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.77 Median $14.13 Typical High $39.81 | Facility | None | $9.77 | $14.13 | $39.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.41 Median $12.88 Typical High $32.36 | Professional | None | $7.41 | $12.88 | $32.36 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $30.20 | Facility | None | $12.88 | $12.88 | $30.20 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.76 Typical High $26.92 | Professional | None | $5.13 | $7.76 | $26.92 |
Well Sense Setting Facility Modifier None Typical Low $11.48 Median $14.13 Typical High $22.39 | Facility | None | $11.48 | $14.13 | $22.39 |
Well Sense Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | None | $12.30 | $12.30 | $14.79 |
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 $5.62 Median $5.62 Typical High $6.76 | Professional | 52 · Reduced service | $5.62 | $5.62 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.69 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.88 Median $16.60 Typical High $19.95 | Facility | QW · Waived lab test | $12.88 | $16.60 | $19.95 |
Where Massachusetts sits
The same service costs 4.2 times more in Kansas than in Texas. 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
$14.13
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.