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 $16.98 | Professional | None | $9.33 | $9.33 | $16.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.75 Median $16.98 Typical High $46.77 | Facility | None | $11.75 | $16.98 | $46.77 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $39.81 | Professional | None | $6.31 | $14.13 | $39.81 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.88 Median $38.90 Typical High $56.23 | Facility | None | $12.88 | $38.90 | $56.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | None | $12.59 | $12.59 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $22.91 Typical High $40.74 | Facility | None | $10.47 | $22.91 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $19.50 Typical High $61.66 | Professional | None | $10.72 | $19.50 | $61.66 |
Fallon Health Setting Facility Modifier None Typical Low $12.59 Median $26.30 Typical High $4,897.79 | Facility | None | $12.59 | $26.30 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | None | $22.39 | $22.39 | $26.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.31 Median $15.85 Typical High $60.26 | Professional | None | $6.31 | $15.85 | $60.26 |
Health New England Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $114.82 | Facility | None | $12.59 | $19.50 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.75 Median $16.98 Typical High $46.77 | Facility | None | $11.75 | $16.98 | $46.77 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.31 Median $14.13 Typical High $39.81 | Professional | None | $6.31 | $14.13 | $39.81 |
United Setting Facility Modifier None Typical Low $14.13 Median $15.85 Typical High $19.05 | Facility | None | $14.13 | $15.85 | $19.05 |
United Setting Professional Modifier None Typical Low $5.25 Median $9.55 Typical High $33.11 | Professional | None | $5.25 | $9.55 | $33.11 |
Well Sense Setting Facility Modifier None Typical Low $10.23 Median $17.38 Typical High $27.54 | Facility | None | $10.23 | $17.38 | $27.54 |
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 $8.32 | Professional | 52 · Reduced service | $4.68 | $4.68 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $3.31 | Professional | 53 · Discontinued | $1.86 | $1.86 | $3.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $15.85 Median $20.42 Typical High $24.55 | Facility | QW · Waived lab test | $15.85 | $20.42 | $24.55 |
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· 24th of 51
$15.85
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.