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 $19.50 Median $38.90 Typical High $91.20 | Facility | None | $19.50 | $38.90 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $22.91 | Professional | None | $19.05 | $19.50 | $22.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $64.57 | Facility | None | $15.14 | $22.39 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $51.29 | Professional | None | $12.30 | $20.42 | $51.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $87.10 | Facility | None | $28.84 | $50.12 | $87.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $25.70 | Professional | None | $19.05 | $19.95 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $28.84 Typical High $52.48 | Facility | None | $13.49 | $28.84 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $24.55 Typical High $79.43 | Professional | None | $13.80 | $24.55 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $4,897.79 | Facility | None | $26.92 | $34.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $79.43 | Professional | None | $10.23 | $20.42 | $79.43 |
Health New England Setting Facility Modifier None Typical Low $23.99 Median $87.10 Typical High $138.04 | Facility | None | $23.99 | $87.10 | $138.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $64.57 | Facility | None | $15.14 | $22.39 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $51.29 | Professional | None | $12.30 | $20.42 | $51.29 |
Tufts Setting Professional Modifier None Typical Low $17.78 Median $20.89 Typical High $32.36 | Professional | None | $17.78 | $20.89 | $32.36 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $60.26 | Facility | None | $20.42 | $20.42 | $60.26 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $42.66 | Professional | None | $8.13 | $12.59 | $42.66 |
Well Sense Setting Facility Modifier None Typical Low $17.78 Median $22.39 Typical High $35.48 | Facility | None | $17.78 | $22.39 | $35.48 |
Well Sense Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None | $21.38 | $21.38 | $25.70 |
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 $9.77 Median $9.77 Typical High $11.48 | Professional | 52 · Reduced service | $9.77 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.68 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.68 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.42 Median $26.30 Typical High $31.62 | Facility | QW · Waived lab test | $20.42 | $26.30 | $31.62 |
Where Massachusetts sits
The same service costs 3.3 times more in Kansas than in Alabama. 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
$22.91
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.