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 $14.45 Median $29.51 Typical High $67.61 | Facility | None | $14.45 | $29.51 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.45 Typical High $16.98 | Professional | None | $14.13 | $14.45 | $16.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.22 Median $16.60 Typical High $47.86 | Facility | None | $11.22 | $16.60 | $47.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $38.02 | Professional | None | $9.12 | $15.14 | $38.02 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $21.38 Median $37.15 Typical High $64.57 | Facility | None | $21.38 | $37.15 | $64.57 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $19.05 | Professional | None | $14.13 | $14.79 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.38 Typical High $38.90 | Facility | None | $10.00 | $21.38 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $58.88 | Professional | None | $10.23 | $18.20 | $58.88 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $25.12 Typical High $4,897.79 | Facility | None | $21.38 | $25.12 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.59 Median $15.14 Typical High $58.88 | Professional | None | $7.59 | $15.14 | $58.88 |
Health New England Setting Facility Modifier None Typical Low $19.50 Median $69.18 Typical High $131.83 | Facility | None | $19.50 | $69.18 | $131.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.22 Median $16.60 Typical High $47.86 | Facility | None | $11.22 | $16.60 | $47.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $38.02 | Professional | None | $9.12 | $15.14 | $38.02 |
Tufts Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $23.99 | Professional | None | $13.18 | $15.49 | $23.99 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $60.26 | Facility | None | $15.14 | $15.14 | $60.26 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $31.62 | Professional | None | $6.03 | $9.33 | $31.62 |
Well Sense Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $26.30 | Facility | None | $13.18 | $16.60 | $26.30 |
Well Sense Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.05 | Professional | None | $15.85 | $15.85 | $19.05 |
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 $7.24 Median $7.24 Typical High $8.51 | Professional | 52 · Reduced service | $7.24 | $7.24 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $3.47 | Professional | 53 · Discontinued | $2.88 | $2.88 | $3.47 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $15.14 Median $19.50 Typical High $23.44 | Facility | QW · Waived lab test | $15.14 | $19.50 | $23.44 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska 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· 17th of 51
$16.60
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.