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 $4.17 Median $8.32 Typical High $19.50 | Facility | None | $4.17 | $8.32 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $6.17 | Professional | None | $4.17 | $4.17 | $6.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.31 Median $4.79 Typical High $14.13 | Facility | None | $3.31 | $4.79 | $14.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.63 Median $4.37 Typical High $11.22 | Professional | None | $2.63 | $4.37 | $11.22 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.17 Median $10.72 Typical High $19.05 | Facility | None | $6.17 | $10.72 | $19.05 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.17 Median $4.27 Typical High $5.62 | Professional | None | $4.17 | $4.27 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $6.31 Typical High $11.48 | Facility | None | $2.88 | $6.31 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.37 Typical High $16.60 | Professional | None | $2.95 | $5.37 | $16.60 |
Fallon Health Setting Facility Modifier None Typical Low $6.17 Median $7.24 Typical High $4,897.79 | Facility | None | $6.17 | $7.24 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | None | $6.17 | $6.17 | $7.24 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.19 Median $4.37 Typical High $16.98 | Professional | None | $2.19 | $4.37 | $16.98 |
Health New England Setting Facility Modifier None Typical Low $5.25 Median $5.75 Typical High $9.77 | Facility | None | $5.25 | $5.75 | $9.77 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.31 Median $4.79 Typical High $14.13 | Facility | None | $3.31 | $4.79 | $14.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.63 Median $4.37 Typical High $11.22 | Professional | None | $2.63 | $4.37 | $11.22 |
Tufts Setting Professional Modifier None Typical Low $3.89 Median $4.57 Typical High $7.08 | Professional | None | $3.89 | $4.57 | $7.08 |
United Setting Facility Modifier None Typical Low $4.37 Median $4.37 Typical High $15.14 | Facility | None | $4.37 | $4.37 | $15.14 |
United Setting Professional Modifier None Typical Low $1.78 Median $3.16 Typical High $9.33 | Professional | None | $1.78 | $3.16 | $9.33 |
Well Sense Setting Facility Modifier None Typical Low $3.89 Median $4.79 Typical High $7.76 | Facility | None | $3.89 | $4.79 | $7.76 |
Well Sense Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $5.50 | Professional | None | $4.57 | $4.57 | $5.50 |
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 $2.09 Median $2.09 Typical High $2.51 | Professional | 52 · Reduced service | $2.09 | $2.09 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $1.00 | Professional | 53 · Discontinued | $0.83 | $0.83 | $1.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4.37 Median $5.75 Typical High $6.76 | Facility | QW · Waived lab test | $4.37 | $5.75 | $6.76 |
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· 23rd of 51
$5.01
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.