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 $12.59 Median $25.12 Typical High $58.88 | Facility | None | $12.59 | $25.12 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $15.85 | Professional | None | $11.75 | $12.59 | $15.85 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $41.69 | Facility | None | $9.77 | $14.45 | $41.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $33.11 | Professional | None | $5.25 | $13.18 | $33.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $56.23 | Facility | None | $18.62 | $32.36 | $56.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $16.60 | Professional | None | $12.30 | $12.88 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $18.62 Typical High $33.88 | Facility | None | $8.71 | $18.62 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.22 Typical High $51.29 | Professional | None | $8.91 | $16.22 | $51.29 |
Fallon Health Setting Facility Modifier None Typical Low $18.62 Median $21.88 Typical High $4,897.79 | Facility | None | $18.62 | $21.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $51.29 | Professional | None | $5.25 | $13.18 | $51.29 |
Health New England Setting Facility Modifier None Typical Low $12.30 Median $17.38 Typical High $131.83 | Facility | None | $12.30 | $17.38 | $131.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.77 Median $14.45 Typical High $41.69 | Facility | None | $9.77 | $14.45 | $41.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $33.11 | Professional | None | $5.25 | $13.18 | $33.11 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $15.85 | Facility | None | $11.75 | $13.18 | $15.85 |
United Setting Professional Modifier None Typical Low $2.09 Median $7.76 Typical High $27.54 | Professional | None | $2.09 | $7.76 | $27.54 |
Well Sense Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $22.91 | Facility | None | $11.48 | $14.45 | $22.91 |
Well Sense Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
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 $6.31 Median $6.31 Typical High $7.41 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.02 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.02 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.18 Median $16.98 Typical High $20.42 | Facility | QW · Waived lab test | $13.18 | $16.98 | $20.42 |
Where Massachusetts sits
The same service costs 6.8 times more in Kansas 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
$14.79
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.