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 $9.33 Median $26.30 Typical High $43.65 | Facility | None | $9.33 | $26.30 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | None | $9.33 | $9.33 | $11.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.41 Median $10.96 Typical High $31.62 | Facility | None | $7.41 | $10.96 | $31.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $25.12 | Professional | None | $5.89 | $9.77 | $25.12 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $13.80 Median $24.55 Typical High $42.66 | Facility | None | $13.80 | $24.55 | $42.66 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.33 Median $9.55 Typical High $12.59 | Professional | None | $9.33 | $9.55 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $14.13 Typical High $25.70 | Facility | None | $6.46 | $14.13 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $12.02 Typical High $38.02 | Professional | None | $6.76 | $12.02 | $38.02 |
Fallon Health Setting Facility Modifier None Typical Low $13.80 Median $16.22 Typical High $4,897.79 | Facility | None | $13.80 | $16.22 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.90 Median $9.77 Typical High $38.02 | Professional | None | $4.90 | $9.77 | $38.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.41 Median $10.96 Typical High $31.62 | Facility | None | $7.41 | $10.96 | $31.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.89 Median $9.77 Typical High $25.12 | Professional | None | $5.89 | $9.77 | $25.12 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $33.11 | Facility | None | $9.77 | $9.77 | $33.11 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.59 Typical High $20.89 | Professional | None | $3.98 | $7.59 | $20.89 |
Well Sense Setting Facility Modifier None Typical Low $8.71 Median $10.96 Typical High $17.38 | Facility | None | $8.71 | $10.96 | $17.38 |
Well Sense Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.30 | Professional | None | $10.23 | $10.23 | $12.30 |
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 $4.68 Median $4.68 Typical High $5.62 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.24 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.24 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $9.77 Median $12.88 Typical High $15.14 | Facility | QW · Waived lab test | $9.77 | $12.88 | $15.14 |
Where Massachusetts sits
The same service costs 4.1 times more in Kansas 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· 21st of 51
$11.22
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.