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 $8.51 Median $16.98 Typical High $102.33 | Facility | None | $8.51 | $16.98 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.96 | Professional | None | $8.51 | $8.51 | $10.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.12 Median $10.96 Typical High $18.20 | Facility | None | $9.12 | $10.96 | $18.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $46.77 | Professional | None | $4.79 | $7.24 | $46.77 |
BCBS Setting Facility Modifier None Typical Low $19.05 Median $26.92 Typical High $38.90 | Facility | None | $19.05 | $26.92 | $38.90 |
BCBS Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $8.71 Typical High $19.50 | Facility | None | $7.94 | $8.71 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.41 Typical High $46.77 | Professional | None | $7.08 | $7.41 | $46.77 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $20.42 Typical High $5,888.44 | Facility | None | $17.38 | $20.42 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.75 Median $12.02 Typical High $34.67 | Professional | None | $5.75 | $12.02 | $34.67 |
Health New England Setting Facility Modifier None Typical Low $12.02 Median $51.29 Typical High $102.33 | Facility | None | $12.02 | $51.29 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.12 Median $10.96 Typical High $18.20 | Facility | None | $9.12 | $10.96 | $18.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $46.77 | Professional | None | $4.79 | $7.24 | $46.77 |
Tufts Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $19.50 | Professional | None | $8.91 | $10.72 | $19.50 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.02 Typical High $14.45 | Facility | None | $10.96 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $25.12 | Professional | None | $4.79 | $7.24 | $25.12 |
Well Sense Setting Facility Modifier None Typical Low $10.72 Median $13.18 Typical High $20.89 | Facility | None | $10.72 | $13.18 | $20.89 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $4.27 Median $4.27 Typical High $4.47 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.78 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.02 Median $15.85 Typical High $18.62 | Facility | QW · Waived lab test | $12.02 | $15.85 | $18.62 |
Where Massachusetts sits
The same service costs 4.0 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· 21st of 51
$12.02
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.