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 $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 $12.30 Median $32.36 Typical High $46.77 | Facility | None | $12.30 | $32.36 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | None | $12.02 | $12.02 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.05 Typical High $33.88 | Facility | None | $8.71 | $19.05 | $33.88 |
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 $10.72 Median $21.88 Typical High $4,897.79 | Facility | None | $10.72 | $21.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $13.18 Typical High $50.12 | Professional | None | $5.25 | $13.18 | $50.12 |
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 $11.75 Median $13.18 Typical High $15.85 | Facility | None | $11.75 | $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 $9.77 Median $14.45 Typical High $22.91 | Facility | None | $9.77 | $14.45 | $22.91 |
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 $13.18 Median $16.98 Typical High $20.42 | Facility | QW · Waived lab test | $13.18 | $16.98 | $20.42 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 26th of 51
$13.18
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.