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 $8.91 Median $25.12 Typical High $41.69 | Facility | None | $8.91 | $25.12 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $13.80 | Professional | None | $8.91 | $8.91 | $13.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.20 Median $25.70 Typical High $70.79 | Facility | None | $18.20 | $25.70 | $70.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.76 Median $21.38 Typical High $61.66 | Professional | None | $7.76 | $21.38 | $61.66 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.30 Median $48.98 Typical High $70.79 | Facility | None | $12.30 | $48.98 | $70.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | None | $12.02 | $12.02 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $51.29 | Facility | None | $14.45 | $22.39 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $29.51 Typical High $95.50 | Professional | None | $10.23 | $29.51 | $95.50 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $40.74 Typical High $4,897.79 | Facility | None | $10.72 | $40.74 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.76 Median $24.55 Typical High $85.11 | Professional | None | $7.76 | $24.55 | $85.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.20 Median $25.70 Typical High $70.79 | Facility | None | $18.20 | $25.70 | $70.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.76 Median $21.38 Typical High $61.66 | Professional | None | $7.76 | $21.38 | $61.66 |
United Setting Facility Modifier None Typical Low $21.88 Median $24.55 Typical High $29.51 | Facility | None | $21.88 | $24.55 | $29.51 |
United Setting Professional Modifier None Typical Low $5.25 Median $14.79 Typical High $51.29 | Professional | None | $5.25 | $14.79 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $9.77 Median $26.92 Typical High $42.66 | Facility | None | $9.77 | $26.92 | $42.66 |
Well Sense Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $11.75 | Professional | None | $9.77 | $9.77 | $11.75 |
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 $4.47 Median $4.47 Typical High $6.92 | Professional | 52 · Reduced service | $4.47 | $4.47 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $2.75 | Professional | 53 · Discontinued | $1.78 | $1.78 | $2.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $24.55 Median $31.62 Typical High $38.02 | Facility | QW · Waived lab test | $24.55 | $31.62 | $38.02 |
Where Massachusetts sits
The same service costs 4.3 times more in Alaska than in New York. 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· 20th of 51
$24.55
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.