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 $2.75 Median $12.30 Typical High $19.95 | Facility | None | $2.75 | $12.30 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $4.17 | Professional | None | $2.75 | $2.75 | $4.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.29 Median $3.31 Typical High $9.33 | Facility | None | $2.29 | $3.31 | $9.33 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1.20 Median $3.02 Typical High $7.59 | Professional | None | $1.20 | $3.02 | $7.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.80 Median $7.08 Typical High $11.48 | Facility | None | $3.80 | $7.08 | $11.48 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $3.72 | Professional | None | $2.82 | $2.95 | $3.72 |
Cigna Setting Facility Modifier None Typical Low $2.00 Median $4.27 Typical High $7.76 | Facility | None | $2.00 | $4.27 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $3.72 Typical High $11.48 | Professional | None | $2.00 | $3.72 | $11.48 |
Fallon Health Setting Facility Modifier None Typical Low $3.31 Median $5.13 Typical High $4,897.79 | Facility | None | $3.31 | $5.13 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | None | $4.27 | $4.27 | $5.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.20 Median $3.02 Typical High $11.75 | Professional | None | $1.20 | $3.02 | $11.75 |
Health New England Setting Facility Modifier None Typical Low $2.82 Median $3.80 Typical High $19.50 | Facility | None | $2.82 | $3.80 | $19.50 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.29 Median $3.31 Typical High $9.33 | Facility | None | $2.29 | $3.31 | $9.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $1.20 Median $3.02 Typical High $7.59 | Professional | None | $1.20 | $3.02 | $7.59 |
Tufts Setting Facility Modifier None Typical Low $2.63 Median $3.63 Typical High $5.01 | Facility | None | $2.63 | $3.63 | $5.01 |
Tufts Setting Professional Modifier None Typical Low $2.63 Median $3.02 Typical High $4.79 | Professional | None | $2.63 | $3.02 | $4.79 |
United Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $7.59 | Facility | None | $3.02 | $3.02 | $7.59 |
United Setting Professional Modifier None Typical Low $1.05 Median $1.82 Typical High $6.31 | Professional | None | $1.05 | $1.82 | $6.31 |
Well Sense Setting Facility Modifier None Typical Low $2.63 Median $3.31 Typical High $5.25 | Facility | None | $2.63 | $3.31 | $5.25 |
Well Sense Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.63 | Professional | None | $3.02 | $3.02 | $3.63 |
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 $1.38 Median $1.38 Typical High $1.74 | Professional | 52 · Reduced service | $1.38 | $1.38 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.55 Median $0.55 Typical High $0.69 | Professional | 53 · Discontinued | $0.55 | $0.55 | $0.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.02 Median $3.89 Typical High $4.68 | Facility | QW · Waived lab test | $3.02 | $3.89 | $4.68 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Maryland. 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
$3.31
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.