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 $13.80 | Professional | None | $10.00 | $10.00 | $13.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.00 Median $14.13 Typical High $38.90 | Facility | None | $10.00 | $14.13 | $38.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $33.11 | Professional | None | $5.25 | $13.18 | $33.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $46.77 | Facility | None | $13.80 | $32.36 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $13.49 | Professional | None | $12.59 | $12.88 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.05 Typical High $34.67 | Facility | None | $8.71 | $19.05 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $16.22 Typical High $51.29 | Professional | None | $9.12 | $16.22 | $51.29 |
Fallon Health Setting Facility Modifier None Typical Low $12.02 Median $22.39 Typical High $4,897.79 | Facility | None | $12.02 | $22.39 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None | $19.05 | $19.05 | $22.39 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $51.29 | Professional | None | $5.25 | $13.18 | $51.29 |
Health New England Setting Facility Modifier None Typical Low $13.49 Median $26.92 Typical High $162.18 | Facility | None | $13.49 | $26.92 | $162.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.00 Median $14.13 Typical High $38.90 | Facility | None | $10.00 | $14.13 | $38.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $33.11 | Professional | None | $5.25 | $13.18 | $33.11 |
United Setting Facility Modifier None Typical Low $12.02 Median $13.18 Typical High $15.85 | Facility | None | $12.02 | $13.18 | $15.85 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $27.54 | Professional | None | $5.25 | $7.94 | $27.54 |
Well Sense Setting Facility Modifier None Typical Low $10.96 Median $14.45 Typical High $22.91 | Facility | None | $10.96 | $14.45 | $22.91 |
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 $6.92 | Professional | 52 · Reduced service | $5.01 | $5.01 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.75 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.18 Median $17.38 Typical High $20.42 | Facility | QW · Waived lab test | $13.18 | $17.38 | $20.42 |
Where Massachusetts sits
The same service costs 4.2 times more in Kansas 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· 23rd of 51
$13.80
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.