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 $21.38 Typical High $43.65 | Facility | None | $9.33 | $21.38 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $12.88 | Professional | None | $9.33 | $9.33 | $12.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.12 Median $13.18 Typical High $36.31 | Facility | None | $9.12 | $13.18 | $36.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $12.30 Typical High $30.90 | Professional | None | $5.25 | $12.30 | $30.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.88 Median $30.20 Typical High $43.65 | Facility | None | $12.88 | $30.20 | $43.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $12.59 | Professional | None | $11.48 | $12.02 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.38 Typical High $31.62 | Facility | None | $8.13 | $17.38 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $14.79 Typical High $46.77 | Professional | None | $8.51 | $14.79 | $46.77 |
Fallon Health Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $4,897.79 | Facility | None | $14.13 | $20.89 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $12.30 Typical High $46.77 | Professional | None | $5.25 | $12.30 | $46.77 |
Health New England Setting Facility Modifier None Typical Low $12.59 Median $31.62 Typical High $75.86 | Facility | None | $12.59 | $31.62 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.12 Median $13.18 Typical High $36.31 | Facility | None | $9.12 | $13.18 | $36.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $12.30 Typical High $30.90 | Professional | None | $5.25 | $12.30 | $30.90 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $14.79 | Facility | None | $10.96 | $12.30 | $14.79 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.41 Typical High $25.70 | Professional | None | $4.90 | $7.41 | $25.70 |
Well Sense Setting Facility Modifier None Typical Low $10.23 Median $13.49 Typical High $21.38 | Facility | None | $10.23 | $13.49 | $21.38 |
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 $6.46 | Professional | 52 · Reduced service | $4.68 | $4.68 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.51 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.51 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.30 Median $15.85 Typical High $19.05 | Facility | QW · Waived lab test | $12.30 | $15.85 | $19.05 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska 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· 21st of 51
$12.88
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.