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 $5.50 Median $15.49 Typical High $25.70 | Facility | None | $5.50 | $15.49 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $7.94 | Professional | None | $5.50 | $5.50 | $7.94 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.37 Median $6.31 Typical High $18.20 | Facility | None | $4.37 | $6.31 | $18.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $14.45 | Professional | None | $3.47 | $5.75 | $14.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $8.13 Median $14.45 Typical High $24.55 | Facility | None | $8.13 | $14.45 | $24.55 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.37 Median $5.62 Typical High $7.41 | Professional | None | $5.37 | $5.62 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.32 Typical High $14.79 | Facility | None | $3.80 | $8.32 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $7.08 Typical High $22.91 | Professional | None | $3.98 | $7.08 | $22.91 |
Fallon Health Setting Facility Modifier None Typical Low $6.61 Median $9.55 Typical High $4,897.79 | Facility | None | $6.61 | $9.55 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.88 Median $5.75 Typical High $22.39 | Professional | None | $2.88 | $5.75 | $22.39 |
Health New England Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.41 | Facility | None | $7.24 | $7.24 | $7.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.37 Median $6.31 Typical High $18.20 | Facility | None | $4.37 | $6.31 | $18.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $14.45 | Professional | None | $3.47 | $5.75 | $14.45 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.75 Typical High $6.92 | Facility | None | $5.25 | $5.75 | $6.92 |
United Setting Professional Modifier None Typical Low $2.29 Median $4.47 Typical High $12.30 | Professional | None | $2.29 | $4.47 | $12.30 |
Well Sense Setting Facility Modifier None Typical Low $5.13 Median $6.31 Typical High $10.00 | Facility | None | $5.13 | $6.31 | $10.00 |
Well Sense Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.24 | Professional | None | $6.03 | $6.03 | $7.24 |
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 $2.75 Median $2.75 Typical High $3.31 | Professional | 52 · Reduced service | $2.75 | $2.75 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.32 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.32 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.75 Median $7.59 Typical High $8.91 | Facility | QW · Waived lab test | $5.75 | $7.59 | $8.91 |
Where Massachusetts sits
The same service costs 4.0 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· 18th of 51
$6.61
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.