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 $9.77 Median $43.65 Typical High $85.11 | Facility | None | $9.77 | $43.65 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $11.48 | Professional | None | $9.77 | $9.77 | $11.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.59 Median $11.22 Typical High $32.36 | Facility | None | $7.59 | $11.22 | $32.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.07 Median $10.23 Typical High $25.70 | Professional | None | $4.07 | $10.23 | $25.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $14.45 Median $25.12 Typical High $43.65 | Facility | None | $14.45 | $25.12 | $43.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $12.88 | Professional | None | $9.55 | $10.00 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $14.45 Typical High $26.30 | Facility | None | $6.76 | $14.45 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $39.81 | Professional | None | $6.92 | $12.30 | $39.81 |
Fallon Health Setting Facility Modifier None Typical Low $11.75 Median $16.98 Typical High $4,897.79 | Facility | None | $11.75 | $16.98 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | None | $14.45 | $14.45 | $16.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.07 Median $10.23 Typical High $39.81 | Professional | None | $4.07 | $10.23 | $39.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.59 Median $11.22 Typical High $32.36 | Facility | None | $7.59 | $11.22 | $32.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.07 Median $10.23 Typical High $25.70 | Professional | None | $4.07 | $10.23 | $25.70 |
United Setting Facility Modifier None Typical Low $9.12 Median $10.23 Typical High $12.30 | Facility | None | $9.12 | $10.23 | $12.30 |
United Setting Professional Modifier None Typical Low $3.16 Median $6.17 Typical High $21.38 | Professional | None | $3.16 | $6.17 | $21.38 |
Well Sense Setting Facility Modifier None Typical Low $8.91 Median $11.22 Typical High $17.78 | Facility | None | $8.91 | $11.22 | $17.78 |
Well Sense Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | None | $10.72 | $10.72 | $12.88 |
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 $4.79 Median $4.79 Typical High $5.75 | Professional | 52 · Reduced service | $4.79 | $4.79 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.29 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.29 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $10.23 Median $13.18 Typical High $15.85 | Facility | QW · Waived lab test | $10.23 | $13.18 | $15.85 |
Where Massachusetts sits
The same service costs 4.2 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· 19th of 51
$11.22
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.