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 $3.24 Median $6.61 Typical High $81.28 | Facility | None | $3.24 | $6.61 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.31 Typical High $5.25 | Professional | None | $3.16 | $3.31 | $5.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.82 Median $4.17 Typical High $11.75 | Facility | None | $2.82 | $4.17 | $11.75 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $3.80 Typical High $9.55 | Professional | None | $2.09 | $3.80 | $9.55 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4.90 Median $8.51 Typical High $14.79 | Facility | None | $4.90 | $8.51 | $14.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.55 Median $3.72 Typical High $4.37 | Professional | None | $3.55 | $3.72 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $5.25 Typical High $8.91 | Facility | None | $2.51 | $5.25 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $4.57 Typical High $15.14 | Professional | None | $2.40 | $4.57 | $15.14 |
Fallon Health Setting Facility Modifier None Typical Low $3.98 Median $6.17 Typical High $4,897.79 | Facility | None | $3.98 | $6.17 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.17 | Professional | None | $5.25 | $5.25 | $6.17 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.91 Median $3.80 Typical High $13.18 | Professional | None | $1.91 | $3.80 | $13.18 |
Health New England Setting Facility Modifier None Typical Low $4.47 Median $12.02 Typical High $29.51 | Facility | None | $4.47 | $12.02 | $29.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.82 Median $4.17 Typical High $11.75 | Facility | None | $2.82 | $4.17 | $11.75 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $3.80 Typical High $9.55 | Professional | None | $2.09 | $3.80 | $9.55 |
Tufts Setting Facility Modifier None Typical Low $3.39 Median $4.07 Typical High $6.76 | Facility | None | $3.39 | $4.07 | $6.76 |
Tufts Setting Professional Modifier None Typical Low $3.39 Median $3.55 Typical High $6.03 | Professional | None | $3.39 | $3.55 | $6.03 |
United Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $7.59 | Facility | None | $3.80 | $3.80 | $7.59 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.29 Typical High $7.94 | Professional | None | $1.51 | $2.29 | $7.94 |
Well Sense Setting Facility Modifier None Typical Low $3.39 Median $4.17 Typical High $6.61 | Facility | None | $3.39 | $4.17 | $6.61 |
Well Sense Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.27 | Professional | None | $3.63 | $3.63 | $4.27 |
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 $1.62 Median $1.62 Typical High $1.78 | Professional | 52 · Reduced service | $1.62 | $1.62 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.66 Typical High $0.72 | Professional | 53 · Discontinued | $0.66 | $0.66 | $0.72 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.80 Median $4.90 Typical High $5.89 | Facility | QW · Waived lab test | $3.80 | $4.90 | $5.89 |
Where Massachusetts sits
The same service costs 11.7 times more in Minnesota 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· 23rd of 51
$4.17
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.