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 $8.32 Median $23.44 Typical High $38.90 | Facility | None | $8.32 | $23.44 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $15.14 | Professional | None | $8.32 | $8.32 | $15.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $41.69 | Facility | None | $10.72 | $15.49 | $41.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $36.31 | Professional | None | $5.75 | $14.45 | $36.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.48 Median $35.48 Typical High $50.12 | Facility | None | $11.48 | $35.48 | $50.12 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.49 | Professional | None | $11.22 | $11.22 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $20.42 Typical High $37.15 | Facility | None | $9.55 | $20.42 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $17.78 Typical High $56.23 | Professional | None | $9.55 | $17.78 | $56.23 |
Fallon Health Setting Facility Modifier None Typical Low $10.47 Median $23.99 Typical High $4,897.79 | Facility | None | $10.47 | $23.99 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $54.95 | Professional | None | $5.75 | $14.45 | $54.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $41.69 | Facility | None | $10.72 | $15.49 | $41.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $36.31 | Professional | None | $5.75 | $14.45 | $36.31 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $17.38 | Facility | None | $12.88 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $30.20 | Professional | None | $5.25 | $8.71 | $30.20 |
Well Sense Setting Facility Modifier None Typical Low $9.12 Median $15.85 Typical High $25.12 | Facility | None | $9.12 | $15.85 | $25.12 |
Well Sense Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | None | $9.12 | $9.12 | $10.96 |
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 $4.17 Median $4.17 Typical High $7.59 | Professional | 52 · Reduced service | $4.17 | $4.17 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $3.02 | Professional | 53 · Discontinued | $1.66 | $1.66 | $3.02 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $18.62 Typical High $22.39 | Facility | QW · Waived lab test | $14.45 | $18.62 | $22.39 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in New York. 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· 22nd of 51
$14.45
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.