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 $18.20 Typical High $42.66 | Facility | None | $8.91 | $18.20 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $11.22 | Professional | None | $8.91 | $8.91 | $11.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.41 Median $10.96 Typical High $30.20 | Facility | None | $7.41 | $10.96 | $30.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $25.12 | Professional | None | $5.89 | $10.00 | $25.12 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.46 Median $22.91 Typical High $33.11 | Facility | None | $6.46 | $22.91 | $33.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $12.02 | Professional | None | $9.33 | $9.77 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $13.49 Typical High $24.55 | Facility | None | $6.46 | $13.49 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $38.02 | Professional | None | $6.03 | $12.02 | $38.02 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $16.98 Typical High $4,897.79 | Facility | None | $10.72 | $16.98 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | None | $14.45 | $14.45 | $16.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.90 Median $10.00 Typical High $36.31 | Professional | None | $4.90 | $10.00 | $36.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.41 Median $10.96 Typical High $30.20 | Facility | None | $7.41 | $10.96 | $30.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $25.12 | Professional | None | $5.89 | $10.00 | $25.12 |
United Setting Facility Modifier None Typical Low $8.91 Median $10.00 Typical High $11.75 | Facility | None | $8.91 | $10.00 | $11.75 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.59 Typical High $20.89 | Professional | None | $3.98 | $7.59 | $20.89 |
Well Sense Setting Facility Modifier None Typical Low $8.71 Median $10.96 Typical High $17.38 | Facility | None | $8.71 | $10.96 | $17.38 |
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 $5.37 | Professional | 52 · Reduced service | $4.47 | $4.47 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.14 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.14 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $10.00 Median $12.88 Typical High $15.49 | Facility | QW · Waived lab test | $10.00 | $12.88 | $15.49 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in Georgia. 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
$10.47
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.