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 $3.47 Median $15.49 Typical High $44.67 | Facility | None | $3.47 | $15.49 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.98 | Professional | None | $3.47 | $3.47 | $3.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.02 Median $14.13 Typical High $47.86 | Facility | None | $12.02 | $14.13 | $47.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.90 Median $14.45 Typical High $40.74 | Professional | None | $4.90 | $14.45 | $40.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.13 Median $32.36 Typical High $46.77 | Facility | None | $5.13 | $32.36 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.57 Median $15.49 Typical High $15.85 | Professional | None | $4.57 | $15.49 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $10.72 Typical High $26.30 | Facility | None | $3.98 | $10.72 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $19.50 Typical High $63.10 | Professional | None | $2.75 | $19.50 | $63.10 |
Fallon Health Setting Facility Modifier None Typical Low $5.25 Median $27.54 Typical High $4,897.79 | Facility | None | $5.25 | $27.54 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | None | $23.44 | $23.44 | $27.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.90 Median $16.22 Typical High $56.23 | Professional | None | $4.90 | $16.22 | $56.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.02 Median $14.13 Typical High $47.86 | Facility | None | $12.02 | $14.13 | $47.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.90 Median $14.45 Typical High $40.74 | Professional | None | $4.90 | $14.45 | $40.74 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.22 Typical High $16.22 | Facility | None | $15.14 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $3.02 Median $6.46 Typical High $33.88 | Professional | None | $3.02 | $6.46 | $33.88 |
Well Sense Setting Facility Modifier None Typical Low $3.80 Median $17.78 Typical High $28.18 | Facility | None | $3.80 | $17.78 | $28.18 |
Well Sense Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $4.47 | Professional | None | $3.80 | $3.80 | $4.47 |
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 $1.74 Median $1.74 Typical High $1.95 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.79 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.22 Median $21.38 Typical High $25.12 | Facility | QW · Waived lab test | $16.22 | $21.38 | $25.12 |
Where Massachusetts sits
The same service costs 8.9 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· 18th of 51
$15.14
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.