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 $5.01 Median $10.00 Typical High $23.44 | Facility | None | $5.01 | $10.00 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | None | $5.01 | $5.01 | $5.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.75 Median $8.13 Typical High $22.91 | Facility | None | $5.75 | $8.13 | $22.91 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.37 Median $7.24 Typical High $19.95 | Professional | None | $4.37 | $7.24 | $19.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.24 Median $15.85 Typical High $22.91 | Facility | None | $7.24 | $15.85 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $8.91 Typical High $16.60 | Facility | None | $5.13 | $8.91 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $9.33 Typical High $30.90 | Professional | None | $3.98 | $9.33 | $30.90 |
Fallon Health Setting Facility Modifier None Typical Low $7.59 Median $12.88 Typical High $4,897.79 | Facility | None | $7.59 | $12.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | None | $10.96 | $10.96 | $12.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.72 Median $7.76 Typical High $26.92 | Professional | None | $3.72 | $7.76 | $26.92 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.75 Median $8.13 Typical High $22.91 | Facility | None | $5.75 | $8.13 | $22.91 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.37 Median $7.24 Typical High $19.95 | Professional | None | $4.37 | $7.24 | $19.95 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.76 Typical High $9.33 | Facility | None | $7.08 | $7.76 | $9.33 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.68 Typical High $16.60 | Professional | None | $3.16 | $4.68 | $16.60 |
Well Sense Setting Facility Modifier None Typical Low $5.50 Median $8.71 Typical High $13.49 | Facility | None | $5.50 | $8.71 | $13.49 |
Well Sense Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | None | $5.50 | $5.50 | $6.61 |
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 $2.51 Median $2.51 Typical High $2.95 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.20 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $7.76 Median $10.23 Typical High $12.02 | Facility | QW · Waived lab test | $7.76 | $10.23 | $12.02 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 20th of 51
$7.76
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.