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 $13.80 Median $27.54 Typical High $61.66 | Facility | None | $13.80 | $27.54 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | None | $13.80 | $13.80 | $14.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.59 Median $17.78 Typical High $51.29 | Facility | None | $12.59 | $17.78 | $51.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.92 Median $16.98 Typical High $43.65 | Professional | None | $6.92 | $16.98 | $43.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.95 Median $35.48 Typical High $60.26 | Facility | None | $19.95 | $35.48 | $60.26 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $18.62 | Professional | None | $15.85 | $16.60 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $21.88 Typical High $37.15 | Facility | None | $11.22 | $21.88 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $66.07 | Professional | None | $10.23 | $20.42 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $28.84 Typical High $5,888.44 | Facility | None | $24.55 | $28.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | None | $24.55 | $24.55 | $28.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $58.88 | Professional | None | $6.76 | $16.98 | $58.88 |
Health New England Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $66.07 | Facility | None | $33.11 | $37.15 | $66.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.59 Median $17.78 Typical High $51.29 | Facility | None | $12.59 | $17.78 | $51.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.92 Median $16.98 Typical High $43.65 | Professional | None | $6.92 | $16.98 | $43.65 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.42 | Facility | None | $15.14 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.23 Typical High $35.48 | Professional | None | $6.76 | $10.23 | $35.48 |
Well Sense Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $29.51 | Facility | None | $14.79 | $18.62 | $29.51 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $6.92 Median $6.92 Typical High $7.24 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.95 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $21.88 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $21.88 | $26.30 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 16th of 51
$18.62
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.