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 $3.39 Median $9.55 Typical High $15.85 | Facility | None | $3.39 | $9.55 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $7.24 | Professional | None | $3.39 | $3.39 | $7.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.24 Median $4.68 Typical High $12.59 | Facility | None | $3.24 | $4.68 | $12.59 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $10.72 | Professional | None | $2.57 | $4.27 | $10.72 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.01 Median $8.51 Typical High $15.14 | Facility | None | $5.01 | $8.51 | $15.14 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $4.57 | Professional | None | $3.98 | $4.17 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $5.50 Typical High $9.12 | Facility | None | $2.82 | $5.50 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $5.25 Typical High $16.60 | Professional | None | $2.51 | $5.25 | $16.60 |
Fallon Health Setting Facility Modifier None Typical Low $5.75 Median $7.24 Typical High $4,897.79 | Facility | None | $5.75 | $7.24 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | None | $6.17 | $6.17 | $7.24 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $14.79 | Professional | None | $2.57 | $4.27 | $14.79 |
Health New England Setting Facility Modifier None Typical Low $5.13 Median $5.25 Typical High $7.76 | Facility | None | $5.13 | $5.25 | $7.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.24 Median $4.68 Typical High $12.59 | Facility | None | $3.24 | $4.68 | $12.59 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $10.72 | Professional | None | $2.57 | $4.27 | $10.72 |
Tufts Setting Facility Modifier None Typical Low $3.80 Median $4.90 Typical High $8.91 | Facility | None | $3.80 | $4.90 | $8.91 |
United Setting Facility Modifier None Typical Low $1.12 Median $4.27 Typical High $10.47 | Facility | None | $1.12 | $4.27 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.27 Typical High $8.91 | Professional | None | $2.09 | $4.27 | $8.91 |
Well Sense Setting Facility Modifier None Typical Low $3.72 Median $4.68 Typical High $7.41 | Facility | None | $3.72 | $4.68 | $7.41 |
Well Sense Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | None | $3.72 | $3.72 | $4.47 |
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 $1.70 Median $1.70 Typical High $2.04 | Professional | 52 · Reduced service | $1.70 | $1.70 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.81 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.81 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4.27 Median $5.50 Typical High $6.61 | Facility | QW · Waived lab test | $4.27 | $5.50 | $6.61 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska 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· 22nd of 51
$4.68
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.