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 $6.46 Median $18.62 Typical High $30.90 | Facility | None | $6.46 | $18.62 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.76 | Professional | None | $6.46 | $6.46 | $7.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.13 Median $7.59 Typical High $21.88 | Facility | None | $5.13 | $7.59 | $21.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.07 Median $6.92 Typical High $17.38 | Professional | None | $4.07 | $6.92 | $17.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.77 Median $16.60 Typical High $29.51 | Facility | None | $9.77 | $16.60 | $29.51 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $8.71 | Professional | None | $6.46 | $6.76 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $9.77 Typical High $19.50 | Facility | None | $4.47 | $9.77 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $8.32 Typical High $26.92 | Professional | None | $4.68 | $8.32 | $26.92 |
Fallon Health Setting Facility Modifier None Typical Low $8.32 Median $11.75 Typical High $4,897.79 | Facility | None | $8.32 | $11.75 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $11.75 | Professional | None | $10.00 | $10.00 | $11.75 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.47 Median $6.92 Typical High $26.30 | Professional | None | $3.47 | $6.92 | $26.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.13 Median $7.59 Typical High $21.88 | Facility | None | $5.13 | $7.59 | $21.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.07 Median $6.92 Typical High $17.38 | Professional | None | $4.07 | $6.92 | $17.38 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $23.99 | Facility | None | $6.92 | $6.92 | $23.99 |
United Setting Professional Modifier None Typical Low $2.75 Median $5.25 Typical High $14.45 | Professional | None | $2.75 | $5.25 | $14.45 |
Well Sense Setting Facility Modifier None Typical Low $6.03 Median $7.59 Typical High $12.02 | Facility | None | $6.03 | $7.59 | $12.02 |
Well Sense Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.51 | Professional | None | $7.08 | $7.08 | $8.51 |
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 $3.24 Median $3.24 Typical High $3.89 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.55 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.55 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $6.92 Median $8.91 Typical High $10.72 | Facility | QW · Waived lab test | $6.92 | $8.91 | $10.72 |
Where Massachusetts sits
The same service costs 4.2 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· 13th 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.