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 $3.72 Median $10.72 Typical High $17.78 | Facility | None | $3.72 | $10.72 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | None | $3.72 | $3.72 | $4.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.95 Median $4.37 Typical High $12.59 | Facility | None | $2.95 | $4.37 | $12.59 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $3.98 Typical High $10.00 | Professional | None | $2.09 | $3.98 | $10.00 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.62 Median $10.00 Typical High $16.98 | Facility | None | $5.62 | $10.00 | $16.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.72 Median $3.89 Typical High $5.01 | Professional | None | $3.72 | $3.89 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $5.62 Typical High $10.23 | Facility | None | $2.57 | $5.62 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $5.01 Typical High $15.14 | Professional | None | $2.63 | $5.01 | $15.14 |
Fallon Health Setting Facility Modifier None Typical Low $5.75 Median $6.76 Typical High $4,897.79 | Facility | None | $5.75 | $6.76 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | None | $5.75 | $5.75 | $6.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.95 Median $3.98 Typical High $15.14 | Professional | None | $1.95 | $3.98 | $15.14 |
Health New England Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $9.12 | Facility | None | $8.71 | $8.71 | $9.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.95 Median $4.37 Typical High $12.59 | Facility | None | $2.95 | $4.37 | $12.59 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $3.98 Typical High $10.00 | Professional | None | $2.09 | $3.98 | $10.00 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.98 Typical High $4.68 | Facility | None | $3.55 | $3.98 | $4.68 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.34 Typical High $8.32 | Professional | None | $1.58 | $2.34 | $8.32 |
Well Sense Setting Facility Modifier None Typical Low $3.47 Median $4.37 Typical High $6.92 | Facility | None | $3.47 | $4.37 | $6.92 |
Well Sense Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.90 | Professional | None | $4.07 | $4.07 | $4.90 |
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 $1.86 Median $1.86 Typical High $2.24 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.89 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.98 Median $5.13 Typical High $6.17 | Facility | QW · Waived lab test | $3.98 | $5.13 | $6.17 |
Where Massachusetts sits
The same service costs 3.4 times more in Kansas than in Maryland. 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· 23rd of 51
$4.37
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.