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 $20.42 Median $22.91 Typical High $102.33 | Facility | None | $20.42 | $22.91 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $17.38 Median $25.12 Typical High $72.44 | Facility | None | $17.38 | $25.12 | $72.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.47 Median $22.91 Typical High $57.54 | Professional | None | $10.47 | $22.91 | $57.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $32.36 Median $56.23 Typical High $97.72 | Facility | None | $32.36 | $56.23 | $97.72 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $29.51 | Professional | None | $21.38 | $22.39 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.11 Typical High $58.88 | Facility | None | $15.14 | $33.11 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $28.18 Typical High $89.13 | Professional | None | $15.85 | $28.18 | $89.13 |
Fallon Health Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $4,897.79 | Facility | None | $33.11 | $38.90 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None | $33.11 | $33.11 | $38.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.47 Median $22.91 Typical High $89.13 | Professional | None | $10.47 | $22.91 | $89.13 |
Health New England Setting Facility Modifier None Typical Low $28.84 Median $30.20 Typical High $97.72 | Facility | None | $28.84 | $30.20 | $97.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $17.38 Median $25.12 Typical High $72.44 | Facility | None | $17.38 | $25.12 | $72.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.47 Median $22.91 Typical High $57.54 | Professional | None | $10.47 | $22.91 | $57.54 |
United Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $27.54 | Facility | None | $20.42 | $22.91 | $27.54 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $48.98 | Professional | None | $9.12 | $13.80 | $48.98 |
Well Sense Setting Facility Modifier None Typical Low $20.42 Median $25.12 Typical High $39.81 | Facility | None | $20.42 | $25.12 | $39.81 |
Well Sense Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.84 | Professional | None | $23.99 | $23.99 | $28.84 |
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 $10.96 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $10.96 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $5.25 | Professional | 53 · Discontinued | $4.37 | $4.37 | $5.25 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $22.91 Median $29.51 Typical High $35.48 | Facility | QW · Waived lab test | $22.91 | $29.51 | $35.48 |
Where Massachusetts sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 16th of 51
$26.30
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.