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 $4.07 Median $18.20 Typical High $46.77 | Facility | None | $4.07 | $18.20 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.90 | Professional | None | $4.07 | $4.07 | $4.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.55 Median $5.13 Typical High $14.45 | Facility | None | $3.55 | $5.13 | $14.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $4.68 Typical High $11.75 | Professional | None | $2.09 | $4.68 | $11.75 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.03 Median $10.72 Typical High $18.62 | Facility | None | $6.03 | $10.72 | $18.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.37 Median $4.57 Typical High $5.50 | Professional | None | $4.37 | $4.57 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $6.46 Typical High $11.22 | Facility | None | $3.09 | $6.46 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.75 Typical High $17.78 | Professional | None | $2.95 | $5.75 | $17.78 |
Fallon Health Setting Facility Modifier None Typical Low $6.17 Median $7.94 Typical High $4,897.79 | Facility | None | $6.17 | $7.94 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $7.94 | Professional | None | $6.76 | $6.76 | $7.94 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.09 Median $4.68 Typical High $16.60 | Professional | None | $2.09 | $4.68 | $16.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.55 Median $5.13 Typical High $14.45 | Facility | None | $3.55 | $5.13 | $14.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $4.68 Typical High $11.75 | Professional | None | $2.09 | $4.68 | $11.75 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $12.02 | Facility | None | $4.68 | $4.68 | $12.02 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.82 Typical High $9.77 | Professional | None | $1.86 | $2.82 | $9.77 |
Well Sense Setting Facility Modifier None Typical Low $4.17 Median $5.13 Typical High $8.13 | Facility | None | $4.17 | $5.13 | $8.13 |
Well Sense Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.37 | Professional | None | $4.47 | $4.47 | $5.37 |
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 $2.04 Median $2.04 Typical High $2.45 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.98 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.98 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4.68 Median $6.17 Typical High $7.24 | Facility | QW · Waived lab test | $4.68 | $6.17 | $7.24 |
Where Massachusetts sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 21st of 51
$5.13
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.