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 $7.41 Median $33.11 Typical High $60.26 | Facility | None | $7.41 | $33.11 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $8.71 | Professional | None | $7.41 | $7.41 | $8.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.75 Median $8.51 Typical High $24.55 | Facility | None | $5.75 | $8.51 | $24.55 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.68 Median $7.76 Typical High $19.50 | Professional | None | $4.68 | $7.76 | $19.50 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.96 Median $18.62 Typical High $33.11 | Facility | None | $10.96 | $18.62 | $33.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $9.77 | Professional | None | $7.24 | $7.59 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $10.96 Typical High $20.42 | Facility | None | $5.13 | $10.96 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $9.55 Typical High $30.90 | Professional | None | $5.37 | $9.55 | $30.90 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $12.88 Typical High $4,897.79 | Facility | None | $10.96 | $12.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | None | $10.96 | $10.96 | $12.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.89 Median $7.76 Typical High $30.20 | Professional | None | $3.89 | $7.76 | $30.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.75 Median $8.51 Typical High $24.55 | Facility | None | $5.75 | $8.51 | $24.55 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.68 Median $7.76 Typical High $19.50 | Professional | None | $4.68 | $7.76 | $19.50 |
United Setting Facility Modifier None Typical Low $6.92 Median $7.76 Typical High $9.33 | Facility | None | $6.92 | $7.76 | $9.33 |
United Setting Professional Modifier None Typical Low $3.09 Median $5.89 Typical High $16.22 | Professional | None | $3.09 | $5.89 | $16.22 |
Well Sense Setting Facility Modifier None Typical Low $6.76 Median $8.51 Typical High $13.49 | Facility | None | $6.76 | $8.51 | $13.49 |
Well Sense Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $9.55 | Professional | None | $7.94 | $7.94 | $9.55 |
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 $3.63 Median $3.63 Typical High $4.37 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.78 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $7.76 Median $10.00 Typical High $12.02 | Facility | QW · Waived lab test | $7.76 | $10.00 | $12.02 |
Where Massachusetts sits
The same service costs 3.2 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· 21st of 51
$8.51
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.