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 $18.20 Typical High $30.20 | Facility | None | $6.31 | $18.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | None | $6.31 | $6.31 | $7.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.62 Median $8.13 Typical High $22.91 | Facility | None | $5.62 | $8.13 | $22.91 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $19.05 | Professional | None | $4.47 | $7.41 | $19.05 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.55 Median $16.60 Typical High $28.84 | Facility | None | $9.55 | $16.60 | $28.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.08 Median $7.24 Typical High $8.51 | Professional | None | $7.08 | $7.24 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $10.00 Typical High $17.38 | Facility | None | $4.90 | $10.00 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $9.12 Typical High $29.51 | Professional | None | $4.68 | $9.12 | $29.51 |
Fallon Health Setting Facility Modifier None Typical Low $8.32 Median $12.30 Typical High $4,897.79 | Facility | None | $8.32 | $12.30 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | None | $10.47 | $10.47 | $12.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.72 Median $7.41 Typical High $26.30 | Professional | None | $3.72 | $7.41 | $26.30 |
Health New England Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.62 Median $8.13 Typical High $22.91 | Facility | None | $5.62 | $8.13 | $22.91 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $19.05 | Professional | None | $4.47 | $7.41 | $19.05 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $15.14 | Facility | None | $7.41 | $7.41 | $15.14 |
United Setting Professional Modifier None Typical Low $3.02 Median $5.62 Typical High $15.85 | Professional | None | $3.02 | $5.62 | $15.85 |
Well Sense Setting Facility Modifier None Typical Low $6.61 Median $8.32 Typical High $12.88 | Facility | None | $6.61 | $8.32 | $12.88 |
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 $7.41 Median $9.77 Typical High $11.48 | Facility | QW · Waived lab test | $7.41 | $9.77 | $11.48 |
Where Massachusetts sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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
$8.32
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.