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 $7.41 Median $20.89 Typical High $34.67 | Facility | None | $7.41 | $20.89 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $8.91 | Professional | None | $7.41 | $7.41 | $8.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.75 Median $8.51 Typical High $66.07 | Facility | None | $5.75 | $8.51 | $66.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.17 Median $7.76 Typical High $19.50 | Professional | None | $4.17 | $7.76 | $19.50 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.96 Median $45.71 Typical High $66.07 | Facility | None | $10.96 | $45.71 | $66.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $10.00 | Professional | None | $7.24 | $7.59 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $10.96 Typical High $20.42 | Facility | None | $5.13 | $10.96 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $9.55 Typical High $30.90 | Professional | None | $5.37 | $9.55 | $30.90 |
Fallon Health Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $4,897.79 | Facility | None | $8.91 | $12.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $12.88 | Professional | None | $10.96 | $10.96 | $12.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.89 Median $7.76 Typical High $87.10 | Professional | None | $3.89 | $7.76 | $87.10 |
Health New England Setting Facility Modifier None Typical Low $9.12 Median $10.23 Typical High $17.78 | Facility | None | $9.12 | $10.23 | $17.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.75 Median $8.51 Typical High $66.07 | Facility | None | $5.75 | $8.51 | $66.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.17 Median $7.76 Typical High $19.50 | Professional | None | $4.17 | $7.76 | $19.50 |
United Setting Facility Modifier None Typical Low $52.48 Median $97.72 Typical High $147.91 | Facility | None | $52.48 | $97.72 | $147.91 |
United Setting Professional Modifier None Typical Low $3.09 Median $4.68 Typical High $16.22 | Professional | None | $3.09 | $4.68 | $16.22 |
Well Sense Setting Facility Modifier None Typical Low $6.76 Median $8.51 Typical High $13.49 | Facility | None | $6.76 | $8.51 | $13.49 |
Well Sense Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | None | $8.13 | $8.13 | $9.77 |
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 $3.72 Median $3.72 Typical High $4.47 | Professional | 52 · Reduced service | $3.72 | $3.72 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.78 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $7.76 Median $10.00 Typical High $12.02 | Facility | QW · Waived lab test | $7.76 | $10.00 | $12.02 |
Where Massachusetts sits
The same service costs 5.2 times more in Kansas than in New Jersey. 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· 21st of 51
$8.91
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.