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 $5.13 Median $10.23 Typical High $22.91 | Facility | None | $5.13 | $10.23 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.41 | Professional | None | $5.13 | $5.13 | $7.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.07 Median $5.89 Typical High $66.07 | Facility | None | $4.07 | $5.89 | $66.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.24 Median $5.37 Typical High $13.49 | Professional | None | $3.24 | $5.37 | $13.49 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.59 Median $45.71 Typical High $66.07 | Facility | None | $7.59 | $45.71 | $66.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.13 Median $5.25 Typical High $6.92 | Professional | None | $5.13 | $5.25 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $7.76 Typical High $13.80 | Facility | None | $3.55 | $7.76 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $6.61 Typical High $20.42 | Professional | None | $3.63 | $6.61 | $20.42 |
Fallon Health Setting Facility Modifier None Typical Low $7.24 Median $8.91 Typical High $4,897.79 | Facility | None | $7.24 | $8.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | None | $7.59 | $7.59 | $8.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.69 Median $5.37 Typical High $107.15 | Professional | None | $2.69 | $5.37 | $107.15 |
Health New England Setting Facility Modifier None Typical Low $6.76 Median $14.13 Typical High $138.04 | Facility | None | $6.76 | $14.13 | $138.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.07 Median $5.89 Typical High $66.07 | Facility | None | $4.07 | $5.89 | $66.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.24 Median $5.37 Typical High $13.49 | Professional | None | $3.24 | $5.37 | $13.49 |
United Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $234.42 | Facility | None | $83.18 | $154.88 | $234.42 |
United Setting Professional Modifier None Typical Low $2.14 Median $4.17 Typical High $11.22 | Professional | None | $2.14 | $4.17 | $11.22 |
Well Sense Setting Facility Modifier None Typical Low $4.79 Median $5.89 Typical High $9.33 | Facility | None | $4.79 | $5.89 | $9.33 |
Well Sense Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $6.76 | Professional | None | $5.62 | $5.62 | $6.76 |
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 $2.57 Median $2.57 Typical High $3.09 | Professional | 52 · Reduced service | $2.57 | $2.57 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.23 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.37 Median $7.08 Typical High $8.32 | Facility | QW · Waived lab test | $5.37 | $7.08 | $8.32 |
Where Massachusetts sits
The same service costs 11.2 times more in Vermont 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· 22nd of 51
$6.31
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.