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 $8.51 Median $16.98 Typical High $38.02 | Facility | None | $8.51 | $16.98 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.47 | Professional | None | $8.51 | $8.51 | $10.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $56.23 | Facility | None | $28.18 | $33.88 | $56.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $147.91 | Professional | None | $4.79 | $7.24 | $147.91 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.05 Median $26.92 Typical High $38.90 | Facility | None | $19.05 | $26.92 | $38.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $8.51 Typical High $60.26 | Facility | None | $5.01 | $8.51 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $147.91 | Professional | None | $22.91 | $22.91 | $147.91 |
Fallon Health Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $63.10 | Facility | None | $53.70 | $53.70 | $63.10 |
Fallon Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | None | $53.70 | $53.70 | $63.10 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.31 Median $30.90 Typical High $79.43 | Professional | None | $6.31 | $30.90 | $79.43 |
Health New England Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $831.76 | Facility | None | $19.05 | $19.05 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $56.23 | Facility | None | $28.18 | $33.88 | $56.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $147.91 | Professional | None | $4.79 | $7.24 | $147.91 |
United Setting Facility Modifier None Typical Low $33.88 Median $38.02 Typical High $45.71 | Facility | None | $33.88 | $38.02 | $45.71 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $79.43 | Professional | None | $4.79 | $7.24 | $79.43 |
Well Sense Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $66.07 | Facility | None | $33.11 | $41.69 | $66.07 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $4.27 Median $4.27 Typical High $4.47 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.78 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $38.02 Median $48.98 Typical High $54.95 | Facility | QW · Waived lab test | $38.02 | $48.98 | $54.95 |
Where Massachusetts sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 23rd of 51
$23.99
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.