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 $9.33 Median $26.30 Typical High $43.65 | Facility | None | $9.33 | $26.30 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $14.45 | Professional | None | $9.33 | $9.33 | $14.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.48 Median $16.22 Typical High $44.67 | Facility | None | $11.48 | $16.22 | $44.67 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.03 Median $15.14 Typical High $38.02 | Professional | None | $6.03 | $15.14 | $38.02 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.88 Median $37.15 Typical High $53.70 | Facility | None | $12.88 | $37.15 | $53.70 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | None | $12.59 | $12.59 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.88 Typical High $39.81 | Facility | None | $10.00 | $21.88 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $18.62 Typical High $58.88 | Professional | None | $10.47 | $18.62 | $58.88 |
Fallon Health Setting Facility Modifier None Typical Low $11.22 Median $25.70 Typical High $4,897.79 | Facility | None | $11.22 | $25.70 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | None | $21.88 | $21.88 | $25.70 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.03 Median $15.14 Typical High $58.88 | Professional | None | $6.03 | $15.14 | $58.88 |
Health New England Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $91.20 | Facility | None | $12.59 | $21.38 | $91.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.48 Median $16.22 Typical High $44.67 | Facility | None | $11.48 | $16.22 | $44.67 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.03 Median $15.14 Typical High $38.02 | Professional | None | $6.03 | $15.14 | $38.02 |
United Setting Facility Modifier None Typical Low $13.80 Median $15.14 Typical High $18.20 | Facility | None | $13.80 | $15.14 | $18.20 |
United Setting Professional Modifier None Typical Low $5.25 Median $9.12 Typical High $31.62 | Professional | None | $5.25 | $9.12 | $31.62 |
Well Sense Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $26.30 | Facility | None | $10.23 | $16.60 | $26.30 |
Well Sense Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $12.30 | Professional | None | $10.23 | $10.23 | $12.30 |
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 $4.68 Median $4.68 Typical High $7.94 | Professional | 52 · Reduced service | $4.68 | $4.68 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $3.16 | Professional | 53 · Discontinued | $1.86 | $1.86 | $3.16 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $15.14 Median $19.95 Typical High $23.44 | Facility | QW · Waived lab test | $15.14 | $19.95 | $23.44 |
Where Massachusetts sits
The same service costs 3.3 times more in South Carolina 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· 27th of 51
$15.14
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.