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 $4.47 Median $12.88 Typical High $20.89 | Facility | None | $4.47 | $12.88 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $18.62 | Professional | None | $4.47 | $4.47 | $18.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.49 Median $17.78 Typical High $52.48 | Facility | None | $13.49 | $17.78 | $52.48 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.89 Median $15.85 Typical High $45.71 | Professional | None | $3.89 | $15.85 | $45.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.17 Median $44.67 Typical High $64.57 | Facility | None | $6.17 | $44.67 | $64.57 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $16.98 | Professional | None | $6.03 | $6.03 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $24.55 Typical High $46.77 | Facility | None | $11.75 | $24.55 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $70.79 | Professional | None | $10.96 | $21.88 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $8.32 Median $30.20 Typical High $4,897.79 | Facility | None | $8.32 | $30.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.89 Median $17.78 Typical High $69.18 | Professional | None | $3.89 | $17.78 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $6.03 Median $38.02 Typical High $41.69 | Facility | None | $6.03 | $38.02 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.49 Median $17.78 Typical High $52.48 | Facility | None | $13.49 | $17.78 | $52.48 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.89 Median $15.85 Typical High $45.71 | Professional | None | $3.89 | $15.85 | $45.71 |
United Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $21.38 | Facility | None | $16.22 | $17.78 | $21.38 |
United Setting Professional Modifier None Typical Low $3.16 Median $9.77 Typical High $38.02 | Professional | None | $3.16 | $9.77 | $38.02 |
Well Sense Setting Facility Modifier None Typical Low $4.90 Median $19.95 Typical High $31.62 | Facility | None | $4.90 | $19.95 | $31.62 |
Well Sense Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $5.89 | Professional | None | $4.90 | $4.90 | $5.89 |
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 $2.24 Median $2.24 Typical High $9.33 | Professional | 52 · Reduced service | $2.24 | $2.24 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $3.72 | Professional | 53 · Discontinued | $0.89 | $0.89 | $3.72 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $17.78 Median $23.44 Typical High $28.18 | Facility | QW · Waived lab test | $17.78 | $23.44 | $28.18 |
Where Massachusetts sits
The same service costs 6.2 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· 18th of 51
$17.78
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.