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 $11.22 Median $15.85 Typical High $43.65 | Facility | None | $11.22 | $15.85 | $43.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.89 Median $13.18 Typical High $37.15 | Professional | None | $5.89 | $13.18 | $37.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.30 Median $36.31 Typical High $52.48 | Facility | None | $12.30 | $36.31 | $52.48 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | None | $12.02 | $12.02 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $21.38 Typical High $38.02 | Facility | None | $9.77 | $21.38 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $18.20 Typical High $57.54 | Professional | None | $10.00 | $18.20 | $57.54 |
Fallon Health Setting Facility Modifier None Typical Low $14.79 Median $24.55 Typical High $4,897.79 | Facility | None | $14.79 | $24.55 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.89 Median $14.79 Typical High $56.23 | Professional | None | $5.89 | $14.79 | $56.23 |
Health New England Setting Facility Modifier None Typical Low $12.02 Median $97.72 Typical High $151.36 | Facility | None | $12.02 | $97.72 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.22 Median $15.85 Typical High $43.65 | Facility | None | $11.22 | $15.85 | $43.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.89 Median $13.18 Typical High $37.15 | Professional | None | $5.89 | $13.18 | $37.15 |
United Setting Facility Modifier None Typical Low $13.18 Median $14.79 Typical High $17.78 | Facility | None | $13.18 | $14.79 | $17.78 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.91 Typical High $30.90 | Professional | None | $5.25 | $8.91 | $30.90 |
Well Sense Setting Facility Modifier None Typical Low $9.77 Median $16.22 Typical High $25.70 | Facility | None | $9.77 | $16.22 | $25.70 |
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 $7.76 | Professional | 52 · Reduced service | $4.47 | $4.47 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $3.09 | Professional | 53 · Discontinued | $1.78 | $1.78 | $3.09 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.79 Median $19.05 Typical High $22.91 | Facility | QW · Waived lab test | $14.79 | $19.05 | $22.91 |
Where Massachusetts sits
The same service costs 4.0 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· 27th of 51
$14.79
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.