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 $5.01 Median $14.13 Typical High $35.48 | Facility | None | $5.01 | $14.13 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $11.22 | Professional | None | $5.01 | $5.01 | $11.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.03 Median $8.71 Typical High $23.44 | Facility | None | $6.03 | $8.71 | $23.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.37 Median $7.24 Typical High $20.42 | Professional | None | $4.37 | $7.24 | $20.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.22 Median $19.95 Typical High $39.81 | Facility | None | $16.22 | $19.95 | $39.81 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $6.76 Median $7.59 Typical High $7.94 | Professional | None | $6.76 | $7.59 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $10.96 Typical High $20.89 | Facility | None | $5.37 | $10.96 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $10.00 Typical High $31.62 | Professional | None | $5.50 | $10.00 | $31.62 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $13.49 Typical High $4,897.79 | Facility | None | $11.48 | $13.49 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.07 Median $8.13 Typical High $30.90 | Professional | None | $4.07 | $8.13 | $30.90 |
Health New England Setting Facility Modifier None Typical Low $8.71 Median $11.22 Typical High $56.23 | Facility | None | $8.71 | $11.22 | $56.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.03 Median $8.71 Typical High $23.44 | Facility | None | $6.03 | $8.71 | $23.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.37 Median $7.24 Typical High $20.42 | Professional | None | $4.37 | $7.24 | $20.42 |
Tufts Setting Professional Modifier None Typical Low $5.37 Median $7.08 Typical High $12.88 | Professional | None | $5.37 | $7.08 | $12.88 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $60.26 | Facility | None | $8.13 | $8.13 | $60.26 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.79 Typical High $16.98 | Professional | None | $3.24 | $4.79 | $16.98 |
Well Sense Setting Facility Modifier None Typical Low $5.50 Median $8.91 Typical High $14.13 | Facility | None | $5.50 | $8.91 | $14.13 |
Well Sense Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | None | $5.50 | $5.50 | $6.61 |
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 $2.51 Median $2.51 Typical High $4.57 | Professional | 52 · Reduced service | $2.51 | $2.51 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.82 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.82 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.13 Median $10.47 Typical High $12.59 | Facility | QW · Waived lab test | $8.13 | $10.47 | $12.59 |
Where Massachusetts sits
The same service costs 5.6 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· 26th of 51
$8.32
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.