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 $4.90 Median $10.00 Typical High $23.44 | Facility | None | $4.90 | $10.00 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.90 Typical High $7.24 | Professional | None | $4.68 | $4.90 | $7.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.89 Median $5.75 Typical High $16.60 | Facility | None | $3.89 | $5.75 | $16.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.09 Median $5.13 Typical High $13.18 | Professional | None | $3.09 | $5.13 | $13.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.24 Median $12.88 Typical High $22.39 | Facility | None | $7.24 | $12.88 | $22.39 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.90 Median $5.13 Typical High $6.61 | Professional | None | $4.90 | $5.13 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $7.41 Typical High $13.49 | Facility | None | $3.39 | $7.41 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $6.17 Typical High $20.42 | Professional | None | $3.47 | $6.17 | $20.42 |
Fallon Health Setting Facility Modifier None Typical Low $5.89 Median $8.91 Typical High $4,897.79 | Facility | None | $5.89 | $8.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | None | $7.59 | $7.59 | $8.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.57 Median $5.13 Typical High $19.95 | Professional | None | $2.57 | $5.13 | $19.95 |
Health New England Setting Facility Modifier None Typical Low $6.76 Median $20.42 Typical High $97.72 | Facility | None | $6.76 | $20.42 | $97.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.89 Median $5.75 Typical High $16.60 | Facility | None | $3.89 | $5.75 | $16.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.09 Median $5.13 Typical High $13.18 | Professional | None | $3.09 | $5.13 | $13.18 |
Tufts Setting Facility Modifier None Typical Low $4.57 Median $6.17 Typical High $8.51 | Facility | None | $4.57 | $6.17 | $8.51 |
Tufts Setting Professional Modifier None Typical Low $4.57 Median $5.37 Typical High $8.32 | Professional | None | $4.57 | $5.37 | $8.32 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $8.91 | Facility | None | $5.13 | $5.13 | $8.91 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.16 Typical High $10.96 | Professional | None | $2.04 | $3.16 | $10.96 |
Well Sense Setting Facility Modifier None Typical Low $4.57 Median $5.75 Typical High $9.12 | Facility | None | $4.57 | $5.75 | $9.12 |
Well Sense Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $6.46 | Professional | None | $5.37 | $5.37 | $6.46 |
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 $2.45 Median $2.45 Typical High $2.95 | Professional | 52 · Reduced service | $2.45 | $2.45 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.17 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.17 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.13 Median $6.76 Typical High $7.94 | Facility | QW · Waived lab test | $5.13 | $6.76 | $7.94 |
Where Massachusetts sits
The same service costs 9.3 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· 24th of 51
$5.75
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.