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 $5.50 Median $15.49 Typical High $25.70 | Facility | None | $5.50 | $15.49 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $12.88 | Professional | None | $5.50 | $5.50 | $12.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.51 Median $12.02 Typical High $33.11 | Facility | None | $8.51 | $12.02 | $33.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.47 Median $11.22 Typical High $28.84 | Professional | None | $4.47 | $11.22 | $28.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.59 Median $28.18 Typical High $39.81 | Facility | None | $7.59 | $28.18 | $39.81 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $10.72 | Professional | None | $7.41 | $7.41 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $15.49 Typical High $29.51 | Facility | None | $7.41 | $15.49 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $13.49 Typical High $44.67 | Professional | None | $6.92 | $13.49 | $44.67 |
Fallon Health Setting Facility Modifier None Typical Low $8.32 Median $19.05 Typical High $4,897.79 | Facility | None | $8.32 | $19.05 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | None | $16.22 | $16.22 | $19.05 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.47 Median $11.22 Typical High $43.65 | Professional | None | $4.47 | $11.22 | $43.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.51 Median $12.02 Typical High $33.11 | Facility | None | $8.51 | $12.02 | $33.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.47 Median $11.22 Typical High $28.84 | Professional | None | $4.47 | $11.22 | $28.84 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $44.67 | Facility | None | $11.22 | $11.22 | $44.67 |
United Setting Professional Modifier None Typical Low $3.16 Median $6.76 Typical High $23.99 | Professional | None | $3.16 | $6.76 | $23.99 |
Well Sense Setting Facility Modifier None Typical Low $6.03 Median $12.59 Typical High $19.50 | Facility | None | $6.03 | $12.59 | $19.50 |
Well Sense Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.24 | Professional | None | $6.03 | $6.03 | $7.24 |
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 $2.75 Median $2.75 Typical High $6.46 | Professional | 52 · Reduced service | $2.75 | $2.75 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $2.57 | Professional | 53 · Discontinued | $1.10 | $1.10 | $2.57 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.22 Median $14.79 Typical High $17.38 | Facility | QW · Waived lab test | $11.22 | $14.79 | $17.38 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 23rd of 51
$11.22
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.