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 $23.44 Median $66.07 Typical High $109.65 | Facility | None | $23.44 | $66.07 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | None | $23.44 | $23.44 | $27.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.20 Median $26.92 Typical High $77.62 | Facility | None | $18.20 | $26.92 | $77.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.47 Median $24.55 Typical High $61.66 | Professional | None | $10.47 | $24.55 | $61.66 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $34.67 Median $58.88 Typical High $104.71 | Facility | None | $34.67 | $58.88 | $104.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $30.90 | Professional | None | $22.91 | $23.99 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $63.10 | Facility | None | $15.85 | $34.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $29.51 Typical High $93.33 | Professional | None | $16.60 | $29.51 | $93.33 |
Fallon Health Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $4,897.79 | Facility | None | $28.18 | $40.74 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.47 Median $24.55 Typical High $95.50 | Professional | None | $10.47 | $24.55 | $95.50 |
Health New England Setting Facility Modifier None Typical Low $28.84 Median $31.62 Typical High $57.54 | Facility | None | $28.84 | $31.62 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.20 Median $26.92 Typical High $77.62 | Facility | None | $18.20 | $26.92 | $77.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.47 Median $24.55 Typical High $61.66 | Professional | None | $10.47 | $24.55 | $61.66 |
United Setting Facility Modifier None Typical Low $21.88 Median $24.55 Typical High $29.51 | Facility | None | $21.88 | $24.55 | $29.51 |
United Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $51.29 | Professional | None | $9.77 | $14.45 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $42.66 | Facility | None | $21.38 | $26.92 | $42.66 |
Well Sense Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
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 $11.48 Median $11.48 Typical High $13.80 | Professional | 52 · Reduced service | $11.48 | $11.48 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $5.62 | Professional | 53 · Discontinued | $4.68 | $4.68 | $5.62 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $24.55 Median $31.62 Typical High $38.02 | Facility | QW · Waived lab test | $24.55 | $31.62 | $38.02 |
Where Massachusetts sits
The same service costs 4.0 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
$26.92
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.