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 $11.48 Median $32.36 Typical High $53.70 | Facility | None | $11.48 | $32.36 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | None | $11.48 | $11.48 | $13.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $38.90 | Facility | None | $10.96 | $13.80 | $38.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.24 Median $29.51 Typical High $91.20 | Professional | None | $7.24 | $29.51 | $91.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.98 Median $29.51 Typical High $52.48 | Facility | None | $16.98 | $29.51 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $20.42 Typical High $46.77 | Facility | None | $9.77 | $20.42 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $31.62 | Professional | None | $7.08 | $12.02 | $31.62 |
Fallon Health Setting Facility Modifier None Typical Low $12.59 Median $20.42 Typical High $5,888.44 | Facility | None | $12.59 | $20.42 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | None | $17.38 | $20.42 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $15.85 | Professional | None | $7.24 | $12.02 | $15.85 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $38.90 | Facility | None | $10.96 | $13.80 | $38.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.24 Median $29.51 Typical High $91.20 | Professional | None | $7.24 | $29.51 | $91.20 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.02 Typical High $14.45 | Facility | None | $10.96 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.24 Typical High $12.59 | Professional | None | $5.13 | $7.24 | $12.59 |
Well Sense Setting Facility Modifier None Typical Low $10.72 Median $14.79 Typical High $21.88 | Facility | None | $10.72 | $14.79 | $21.88 |
Well Sense Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | None | $12.59 | $12.59 | $16.98 |
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 $5.75 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.02 Median $15.85 Typical High $18.62 | Facility | QW · Waived lab test | $12.02 | $15.85 | $18.62 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 18th of 51
$12.02
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.