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 $3.72 Median $16.60 Typical High $18.20 | Facility | None | $3.72 | $16.60 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $17.38 | Professional | None | $3.72 | $3.72 | $17.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.80 Median $17.78 Typical High $58.88 | Facility | None | $13.80 | $17.78 | $58.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.17 Median $17.78 Typical High $51.29 | Professional | None | $6.17 | $17.78 | $51.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.13 Median $40.74 Typical High $58.88 | Facility | None | $5.13 | $40.74 | $58.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $19.05 | Professional | None | $4.90 | $4.90 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $13.49 Typical High $32.36 | Facility | None | $4.90 | $13.49 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $24.55 Typical High $79.43 | Professional | None | $3.47 | $24.55 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $4.47 Median $34.67 Typical High $4,897.79 | Facility | None | $4.47 | $34.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.17 Median $20.42 Typical High $70.79 | Professional | None | $6.17 | $20.42 | $70.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.80 Median $17.78 Typical High $58.88 | Facility | None | $13.80 | $17.78 | $58.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.17 Median $17.78 Typical High $51.29 | Professional | None | $6.17 | $17.78 | $51.29 |
United Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $24.55 | Facility | None | $18.20 | $20.42 | $24.55 |
United Setting Professional Modifier None Typical Low $3.24 Median $8.13 Typical High $42.66 | Professional | None | $3.24 | $8.13 | $42.66 |
Well Sense Setting Facility Modifier None Typical Low $4.07 Median $22.39 Typical High $35.48 | Facility | None | $4.07 | $22.39 | $35.48 |
Well Sense Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
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 $1.86 Median $1.86 Typical High $2.57 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $1.05 | Professional | 53 · Discontinued | $0.74 | $0.74 | $1.05 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.42 Median $26.30 Typical High $31.62 | Facility | QW · Waived lab test | $20.42 | $26.30 | $31.62 |
Where Massachusetts sits
The same service costs 7.6 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· 19th of 51
$17.78
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.