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 $8.13 Median $36.31 Typical High $177.83 | Facility | None | $8.13 | $36.31 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $10.72 | Professional | None | $8.13 | $8.13 | $10.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $15.14 Typical High $42.66 | Facility | None | $10.72 | $15.14 | $42.66 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.75 Median $12.88 Typical High $36.31 | Professional | None | $5.75 | $12.88 | $36.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.02 Median $28.84 Typical High $41.69 | Facility | None | $12.02 | $28.84 | $41.69 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $13.49 | Professional | None | $10.96 | $10.96 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $30.90 | Facility | None | $9.33 | $14.45 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $17.38 Typical High $56.23 | Professional | None | $6.46 | $17.38 | $56.23 |
Fallon Health Setting Facility Modifier None Typical Low $14.13 Median $23.99 Typical High $4,897.79 | Facility | None | $14.13 | $23.99 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $50.12 | Professional | None | $5.75 | $14.45 | $50.12 |
Health New England Setting Facility Modifier None Typical Low $9.33 Median $10.96 Typical High $10.96 | Facility | None | $9.33 | $10.96 | $10.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $15.14 Typical High $42.66 | Facility | None | $10.72 | $15.14 | $42.66 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.75 Median $12.88 Typical High $36.31 | Professional | None | $5.75 | $12.88 | $36.31 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $17.38 | Facility | None | $12.88 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $30.20 | Professional | None | $5.25 | $8.71 | $30.20 |
Well Sense Setting Facility Modifier None Typical Low $8.91 Median $15.85 Typical High $25.12 | Facility | None | $8.91 | $15.85 | $25.12 |
Well Sense Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.72 | Professional | None | $8.91 | $8.91 | $10.72 |
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 $4.07 Median $4.07 Typical High $4.79 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $18.62 Typical High $22.39 | Facility | QW · Waived lab test | $14.45 | $18.62 | $22.39 |
Where Massachusetts sits
The same service costs 5.4 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· 17th of 51
$14.45
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.