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 $6.17 Median $17.38 Typical High $28.84 | Facility | None | $6.17 | $17.38 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.41 | Professional | None | $6.17 | $6.17 | $7.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.79 Median $7.08 Typical High $20.42 | Facility | None | $4.79 | $7.08 | $20.42 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.89 Median $6.46 Typical High $16.22 | Professional | None | $3.89 | $6.46 | $16.22 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.12 Median $15.85 Typical High $27.54 | Facility | None | $9.12 | $15.85 | $27.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $6.03 Median $6.31 Typical High $8.32 | Professional | None | $6.03 | $6.31 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $9.33 Typical High $16.60 | Facility | None | $4.27 | $9.33 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $7.76 Typical High $25.70 | Professional | None | $4.47 | $7.76 | $25.70 |
Fallon Health Setting Facility Modifier None Typical Low $8.91 Median $10.72 Typical High $4,897.79 | Facility | None | $8.91 | $10.72 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.72 | Professional | None | $9.12 | $9.12 | $10.72 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.24 Median $6.46 Typical High $25.12 | Professional | None | $3.24 | $6.46 | $25.12 |
Health New England Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.79 Median $7.08 Typical High $20.42 | Facility | None | $4.79 | $7.08 | $20.42 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.89 Median $6.46 Typical High $16.22 | Professional | None | $3.89 | $6.46 | $16.22 |
United Setting Facility Modifier None Typical Low $5.75 Median $6.46 Typical High $7.76 | Facility | None | $5.75 | $6.46 | $7.76 |
United Setting Professional Modifier None Typical Low $2.57 Median $5.01 Typical High $13.80 | Professional | None | $2.57 | $5.01 | $13.80 |
Well Sense Setting Facility Modifier None Typical Low $5.75 Median $7.08 Typical High $11.22 | Facility | None | $5.75 | $7.08 | $11.22 |
Well Sense Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $8.13 | Professional | None | $6.76 | $6.76 | $8.13 |
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 $3.09 Median $3.09 Typical High $3.72 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.48 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.48 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $6.46 Median $8.32 Typical High $10.00 | Facility | QW · Waived lab test | $6.46 | $8.32 | $10.00 |
Where Massachusetts sits
The same service costs 3.4 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· 19th of 51
$7.41
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.