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 $13.49 Median $38.90 Typical High $64.57 | Facility | None | $13.49 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $45.71 | Facility | None | $10.96 | $16.22 | $45.71 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.89 Median $14.79 Typical High $37.15 | Professional | None | $5.89 | $14.79 | $37.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.62 Median $35.48 Typical High $56.23 | Facility | None | $18.62 | $35.48 | $56.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $18.20 | Professional | None | $13.80 | $14.45 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $20.89 Typical High $38.02 | Facility | None | $9.77 | $20.89 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $17.78 Typical High $57.54 | Professional | None | $10.00 | $17.78 | $57.54 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $24.55 Typical High $4,897.79 | Facility | None | $16.22 | $24.55 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.89 Median $14.79 Typical High $57.54 | Professional | None | $5.89 | $14.79 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $45.71 | Facility | None | $10.96 | $16.22 | $45.71 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.89 Median $14.79 Typical High $37.15 | Professional | None | $5.89 | $14.79 | $37.15 |
United Setting Facility Modifier None Typical Low $13.18 Median $14.79 Typical High $17.78 | Facility | None | $13.18 | $14.79 | $17.78 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.91 Typical High $30.90 | Professional | None | $5.25 | $8.91 | $30.90 |
Well Sense Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $25.70 | Facility | None | $12.88 | $16.22 | $25.70 |
Well Sense Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.78 | Professional | None | $14.79 | $14.79 | $17.78 |
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 $6.76 Median $6.76 Typical High $8.13 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.24 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.24 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.79 Median $19.05 Typical High $22.91 | Facility | QW · Waived lab test | $14.79 | $19.05 | $22.91 |
Where Massachusetts sits
The same service costs 3.0 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· 19th of 51
$16.22
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.