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 $10.47 Median $29.51 Typical High $48.98 | Facility | None | $10.47 | $29.51 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | None | $10.47 | $10.47 | $12.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.55 Median $13.80 Typical High $38.90 | Facility | None | $9.55 | $13.80 | $38.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.01 Median $12.59 Typical High $31.62 | Professional | None | $5.01 | $12.59 | $31.62 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.49 Median $26.92 Typical High $46.77 | Facility | None | $15.49 | $26.92 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $14.13 | Professional | None | $12.02 | $12.30 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $16.60 Typical High $28.84 | Facility | None | $8.32 | $16.60 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $15.14 Typical High $50.12 | Professional | None | $7.76 | $15.14 | $50.12 |
Fallon Health Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $4,897.79 | Facility | None | $12.59 | $21.38 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.01 Median $12.59 Typical High $44.67 | Professional | None | $5.01 | $12.59 | $44.67 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.55 Median $13.80 Typical High $38.90 | Facility | None | $9.55 | $13.80 | $38.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.01 Median $12.59 Typical High $31.62 | Professional | None | $5.01 | $12.59 | $31.62 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $26.92 | Facility | None | $12.59 | $12.59 | $26.92 |
United Setting Professional Modifier None Typical Low $4.17 Median $7.59 Typical High $26.30 | Professional | None | $4.17 | $7.59 | $26.30 |
Well Sense Setting Facility Modifier None Typical Low $11.22 Median $13.80 Typical High $21.88 | Facility | None | $11.22 | $13.80 | $21.88 |
Well Sense Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | None | $11.48 | $11.48 | $13.80 |
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 $5.25 Median $5.25 Typical High $6.31 | Professional | 52 · Reduced service | $5.25 | $5.25 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.51 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.51 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.59 Median $16.60 Typical High $19.50 | Facility | QW · Waived lab test | $12.59 | $16.60 | $19.50 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$13.80
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.