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 $6.31 Median $16.22 Typical High $29.51 | Facility | None | $6.31 | $16.22 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $8.51 | Professional | None | $6.31 | $6.31 | $8.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.92 Median $9.77 Typical High $27.54 | Facility | None | $6.92 | $9.77 | $27.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $23.44 | Professional | None | $5.62 | $9.33 | $23.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $34.67 | Facility | None | $11.48 | $18.62 | $34.67 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | None | $8.51 | $8.51 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $11.22 Typical High $19.95 | Facility | None | $6.17 | $11.22 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $11.48 Typical High $37.15 | Professional | None | $5.13 | $11.48 | $37.15 |
Fallon Health Setting Facility Modifier None Typical Low $9.55 Median $15.85 Typical High $4,897.79 | Facility | None | $9.55 | $15.85 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | None | $13.49 | $13.49 | $15.85 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.47 Median $9.33 Typical High $32.36 | Professional | None | $4.47 | $9.33 | $32.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.92 Median $9.77 Typical High $27.54 | Facility | None | $6.92 | $9.77 | $27.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $23.44 | Professional | None | $5.62 | $9.33 | $23.44 |
United Setting Facility Modifier None Typical Low $8.51 Median $9.33 Typical High $11.22 | Facility | None | $8.51 | $9.33 | $11.22 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.62 Typical High $19.50 | Professional | None | $3.72 | $5.62 | $19.50 |
Well Sense Setting Facility Modifier None Typical Low $6.92 Median $10.23 Typical High $16.22 | Facility | None | $6.92 | $10.23 | $16.22 |
Well Sense Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | None | $6.92 | $6.92 | $8.32 |
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 $3.16 Median $3.16 Typical High $3.80 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.51 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.51 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $9.33 Median $12.30 Typical High $14.45 | Facility | QW · Waived lab test | $9.33 | $12.30 | $14.45 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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· 20th of 51
$9.33
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.