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 $10.00 Median $28.18 Typical High $46.77 | Facility | None | $10.00 | $28.18 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.05 | Professional | None | $10.00 | $10.00 | $19.05 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $39.81 | Facility | None | $10.23 | $14.79 | $39.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.50 Median $13.80 Typical High $34.67 | Professional | None | $5.50 | $13.80 | $34.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $48.98 | Facility | None | $13.80 | $33.88 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $13.49 | Professional | None | $12.88 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.50 Typical High $35.48 | Facility | None | $8.91 | $19.50 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $53.70 | Professional | None | $9.33 | $16.60 | $53.70 |
Fallon Health Setting Facility Modifier None Typical Low $12.02 Median $22.91 Typical High $4,897.79 | Facility | None | $12.02 | $22.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | None | $19.50 | $19.50 | $22.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.50 Median $13.80 Typical High $52.48 | Professional | None | $5.50 | $13.80 | $52.48 |
Health New England Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $39.81 | Facility | None | $10.23 | $14.79 | $39.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.50 Median $13.80 Typical High $34.67 | Professional | None | $5.50 | $13.80 | $34.67 |
United Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $16.60 | Facility | None | $12.30 | $13.80 | $16.60 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $28.84 | Professional | None | $5.25 | $8.32 | $28.84 |
Well Sense Setting Facility Modifier None Typical Low $10.96 Median $15.14 Typical High $23.99 | Facility | None | $10.96 | $15.14 | $23.99 |
Well Sense Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $13.18 | Professional | None | $10.96 | $10.96 | $13.18 |
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 $5.01 Median $5.01 Typical High $7.08 | Professional | 52 · Reduced service | $5.01 | $5.01 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.88 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.88 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.80 Median $17.78 Typical High $21.38 | Facility | QW · Waived lab test | $13.80 | $17.78 | $21.38 |
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· 25th of 51
$14.13
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.