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 $11.48 Median $32.36 Typical High $53.70 | Facility | None | $11.48 | $32.36 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | None | $11.48 | $11.48 | $14.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.12 Median $13.18 Typical High $38.90 | Facility | None | $9.12 | $13.18 | $38.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.31 Median $12.02 Typical High $30.90 | Professional | None | $6.31 | $12.02 | $30.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $52.48 | Facility | None | $16.98 | $29.51 | $52.48 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.48 Median $11.75 Typical High $15.49 | Professional | None | $11.48 | $11.75 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.38 Typical High $31.62 | Facility | None | $7.94 | $17.38 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $46.77 | Professional | None | $8.32 | $14.79 | $46.77 |
Fallon Health Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $4,897.79 | Facility | None | $13.80 | $20.42 | $4,897.79 |
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 $6.03 Median $12.02 Typical High $46.77 | Professional | None | $6.03 | $12.02 | $46.77 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.12 Median $13.18 Typical High $38.90 | Facility | None | $9.12 | $13.18 | $38.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.31 Median $12.02 Typical High $30.90 | Professional | None | $6.31 | $12.02 | $30.90 |
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 $25.70 | Professional | None | $4.79 | $7.24 | $25.70 |
Well Sense Setting Facility Modifier None Typical Low $10.72 Median $13.49 Typical High $20.89 | Facility | None | $10.72 | $13.49 | $20.89 |
Well Sense Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | None | $12.59 | $12.59 | $15.14 |
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 $5.75 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.75 |
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 4.2 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· 22nd of 51
$13.49
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.