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 $12.02 Median $33.88 Typical High $56.23 | Facility | None | $12.02 | $33.88 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $39.81 | Facility | None | $9.33 | $13.80 | $39.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $12.59 Typical High $31.62 | Professional | None | $5.25 | $12.59 | $31.62 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $17.78 Median $30.90 Typical High $53.70 | Facility | None | $17.78 | $30.90 | $53.70 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $16.22 | Professional | None | $11.75 | $12.30 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $17.78 Typical High $32.36 | Facility | None | $8.32 | $17.78 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $15.14 Typical High $48.98 | Professional | None | $8.71 | $15.14 | $48.98 |
Fallon Health Setting Facility Modifier None Typical Low $18.20 Median $21.38 Typical High $4,897.79 | Facility | None | $18.20 | $21.38 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $12.59 Typical High $48.98 | Professional | None | $5.25 | $12.59 | $48.98 |
Health New England Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $29.51 | Facility | None | $16.22 | $16.22 | $29.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $39.81 | Facility | None | $9.33 | $13.80 | $39.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $12.59 Typical High $31.62 | Professional | None | $5.25 | $12.59 | $31.62 |
United Setting Facility Modifier None Typical Low $11.22 Median $12.59 Typical High $15.14 | Facility | None | $11.22 | $12.59 | $15.14 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.59 Typical High $26.30 | Professional | None | $5.01 | $7.59 | $26.30 |
Well Sense Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $21.88 | Facility | None | $10.96 | $13.80 | $21.88 |
Well Sense Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | None | $13.18 | $13.18 | $15.85 |
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 $6.03 Median $6.03 Typical High $7.08 | Professional | 52 · Reduced service | $6.03 | $6.03 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.88 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.88 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.59 Median $16.22 Typical High $19.50 | Facility | QW · Waived lab test | $12.59 | $16.22 | $19.50 |
Where Massachusetts sits
The same service costs 3.5 times more in South Carolina 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· 17th 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.