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 $14.79 Median $41.69 Typical High $69.18 | Facility | None | $14.79 | $41.69 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $30.90 | Professional | None | $14.13 | $14.79 | $30.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.48 Median $16.98 Typical High $48.98 | Facility | None | $11.48 | $16.98 | $48.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.31 Median $15.49 Typical High $38.90 | Professional | None | $6.31 | $15.49 | $38.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $21.88 Median $38.02 Typical High $66.07 | Facility | None | $21.88 | $38.02 | $66.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $19.50 | Professional | None | $14.45 | $15.14 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.88 Typical High $39.81 | Facility | None | $10.00 | $21.88 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $60.26 | Professional | None | $10.72 | $18.62 | $60.26 |
Fallon Health Setting Facility Modifier None Typical Low $21.88 Median $25.70 Typical High $4,897.79 | Facility | None | $21.88 | $25.70 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | None | $21.88 | $21.88 | $25.70 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.31 Median $15.49 Typical High $60.26 | Professional | None | $6.31 | $15.49 | $60.26 |
Health New England Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $190.55 | Facility | None | $16.60 | $36.31 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.48 Median $16.98 Typical High $48.98 | Facility | None | $11.48 | $16.98 | $48.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.31 Median $15.49 Typical High $38.90 | Professional | None | $6.31 | $15.49 | $38.90 |
Tufts Setting Facility Modifier None Typical Low $14.79 Median $17.38 Typical High $25.12 | Facility | None | $14.79 | $17.38 | $25.12 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $75.86 | Facility | None | $15.49 | $15.49 | $75.86 |
United Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $32.36 | Professional | None | $6.17 | $9.33 | $32.36 |
Well Sense Setting Facility Modifier None Typical Low $13.49 Median $16.98 Typical High $26.92 | Facility | None | $13.49 | $16.98 | $26.92 |
Well Sense Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | None | $16.22 | $16.22 | $19.05 |
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 $7.41 Median $7.41 Typical High $8.71 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.55 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.55 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $15.49 Median $19.95 Typical High $23.99 | Facility | QW · Waived lab test | $15.49 | $19.95 | $23.99 |
Where Massachusetts sits
The same service costs 4.5 times more in Kansas 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· 19th of 51
$17.38
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.