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 $4.07 Median $7.41 Typical High $18.20 | Facility | None | $4.07 | $7.41 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $4.07 Typical High $7.41 | Professional | None | $3.89 | $4.07 | $7.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.24 Median $4.68 Typical High $13.49 | Facility | None | $3.24 | $4.68 | $13.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $10.72 | Professional | None | $2.57 | $4.27 | $10.72 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.03 Median $10.72 Typical High $18.20 | Facility | None | $6.03 | $10.72 | $18.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $5.50 | Professional | None | $3.98 | $4.17 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $6.17 Typical High $10.96 | Facility | None | $2.82 | $6.17 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $5.37 Typical High $16.60 | Professional | None | $2.95 | $5.37 | $16.60 |
Fallon Health Setting Facility Modifier None Typical Low $4.90 Median $7.24 Typical High $4,897.79 | Facility | None | $4.90 | $7.24 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | None | $6.17 | $6.17 | $7.24 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.14 Median $4.27 Typical High $16.60 | Professional | None | $2.14 | $4.27 | $16.60 |
Health New England Setting Facility Modifier None Typical Low $5.37 Median $7.59 Typical High $27.54 | Facility | None | $5.37 | $7.59 | $27.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.24 Median $4.68 Typical High $13.49 | Facility | None | $3.24 | $4.68 | $13.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $10.72 | Professional | None | $2.57 | $4.27 | $10.72 |
Tufts Setting Facility Modifier None Typical Low $3.80 Median $4.79 Typical High $8.32 | Facility | None | $3.80 | $4.79 | $8.32 |
Tufts Setting Professional Modifier None Typical Low $3.80 Median $4.37 Typical High $6.76 | Professional | None | $3.80 | $4.37 | $6.76 |
United Setting Facility Modifier None Typical Low $1.38 Median $4.27 Typical High $12.02 | Facility | None | $1.38 | $4.27 | $12.02 |
United Setting Professional Modifier None Typical Low $1.70 Median $3.16 Typical High $9.12 | Professional | None | $1.70 | $3.16 | $9.12 |
Well Sense Setting Facility Modifier None Typical Low $3.80 Median $4.68 Typical High $7.41 | Facility | None | $3.80 | $4.68 | $7.41 |
Well Sense Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.37 | Professional | None | $4.47 | $4.47 | $5.37 |
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 $2.04 Median $2.04 Typical High $2.45 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.98 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.98 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4.27 Median $5.50 Typical High $6.61 | Facility | QW · Waived lab test | $4.27 | $5.50 | $6.61 |
Where Massachusetts sits
The same service costs 24.0 times more in Vermont than in Georgia. 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· 22nd of 51
$4.90
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.