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 $13.18 Typical High $29.51 | Facility | None | $6.61 | $13.18 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.47 | Professional | None | $6.61 | $6.61 | $10.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.62 Median $8.32 Typical High $22.91 | Facility | None | $5.62 | $8.32 | $22.91 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $19.05 | Professional | None | $4.47 | $7.41 | $19.05 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $29.51 | Facility | None | $9.77 | $17.38 | $29.51 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.08 Median $7.41 Typical High $8.91 | Professional | None | $7.08 | $7.41 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $10.23 Typical High $19.50 | Facility | None | $4.90 | $10.23 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $9.12 Typical High $29.51 | Professional | None | $4.79 | $9.12 | $29.51 |
Fallon Health Setting Facility Modifier None Typical Low $10.47 Median $12.30 Typical High $4,897.79 | Facility | None | $10.47 | $12.30 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | None | $10.47 | $10.47 | $12.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.72 Median $7.41 Typical High $26.92 | Professional | None | $3.72 | $7.41 | $26.92 |
Health New England Setting Facility Modifier None Typical Low $8.91 Median $16.22 Typical High $41.69 | Facility | None | $8.91 | $16.22 | $41.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.62 Median $8.32 Typical High $22.91 | Facility | None | $5.62 | $8.32 | $22.91 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.47 Median $7.41 Typical High $19.05 | Professional | None | $4.47 | $7.41 | $19.05 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $23.99 | Facility | None | $7.41 | $7.41 | $23.99 |
United Setting Professional Modifier None Typical Low $3.02 Median $5.75 Typical High $15.85 | Professional | None | $3.02 | $5.75 | $15.85 |
Well Sense Setting Facility Modifier None Typical Low $6.61 Median $8.32 Typical High $13.18 | Facility | None | $6.61 | $8.32 | $13.18 |
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 $3.98 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.58 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.58 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $7.41 Median $9.77 Typical High $11.48 | Facility | QW · Waived lab test | $7.41 | $9.77 | $11.48 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 20th 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.