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 $6.61 Median $18.62 Typical High $31.62 | Facility | None | $6.61 | $18.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $25.70 | Professional | None | $6.61 | $6.61 | $25.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $24.55 Typical High $79.43 | Facility | None | $19.95 | $24.55 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.89 Median $23.99 Typical High $67.61 | Professional | None | $5.89 | $23.99 | $67.61 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.12 Median $53.70 Typical High $77.62 | Facility | None | $9.12 | $53.70 | $77.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $25.70 | Professional | None | $8.91 | $8.91 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $19.05 Typical High $43.65 | Facility | None | $9.33 | $19.05 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $32.36 Typical High $104.71 | Professional | None | $6.61 | $32.36 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $7.94 Median $45.71 Typical High $4,897.79 | Facility | None | $7.94 | $45.71 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None | $38.90 | $38.90 | $45.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.89 Median $26.92 Typical High $93.33 | Professional | None | $5.89 | $26.92 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $24.55 Typical High $79.43 | Facility | None | $19.95 | $24.55 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.89 Median $23.99 Typical High $67.61 | Professional | None | $5.89 | $23.99 | $67.61 |
United Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $32.36 | Facility | None | $24.55 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $5.25 Median $12.02 Typical High $56.23 | Professional | None | $5.25 | $12.02 | $56.23 |
Well Sense Setting Facility Modifier None Typical Low $7.24 Median $29.51 Typical High $46.77 | Facility | None | $7.24 | $29.51 | $46.77 |
Well Sense Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.71 | Professional | None | $7.24 | $7.24 | $8.71 |
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 $3.31 Median $3.31 Typical High $4.90 | Professional | 52 · Reduced service | $3.31 | $3.31 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.95 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.92 Median $35.48 Typical High $41.69 | Facility | QW · Waived lab test | $26.92 | $35.48 | $41.69 |
Where Massachusetts sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 16th of 51
$25.70
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.