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 $24.55 Median $50.12 Typical High $117.49 | Facility | None | $24.55 | $50.12 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $29.51 | Professional | None | $23.99 | $25.12 | $29.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $83.18 | Facility | None | $19.50 | $28.84 | $83.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $66.07 | Professional | None | $15.49 | $26.30 | $66.07 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $112.20 | Facility | None | $37.15 | $63.10 | $112.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $33.11 | Professional | None | $24.55 | $25.70 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $37.15 Typical High $67.61 | Facility | None | $16.98 | $37.15 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $31.62 Typical High $102.33 | Professional | None | $17.78 | $31.62 | $102.33 |
Fallon Health Setting Facility Modifier None Typical Low $30.20 Median $43.65 Typical High $4,897.79 | Facility | None | $30.20 | $43.65 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | None | $37.15 | $37.15 | $43.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.18 Median $26.30 Typical High $100.00 | Professional | None | $13.18 | $26.30 | $100.00 |
Health New England Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $38.90 | Facility | None | $24.55 | $32.36 | $38.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.50 Median $28.84 Typical High $83.18 | Facility | None | $19.50 | $28.84 | $83.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.49 Median $26.30 Typical High $66.07 | Professional | None | $15.49 | $26.30 | $66.07 |
United Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $31.62 | Facility | None | $23.44 | $26.30 | $31.62 |
United Setting Professional Modifier None Typical Low $10.47 Median $16.98 Typical High $54.95 | Professional | None | $10.47 | $16.98 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $45.71 | Facility | None | $22.91 | $28.84 | $45.71 |
Well Sense Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
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 $12.30 Median $12.30 Typical High $14.79 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.30 Median $33.88 Typical High $40.74 | Facility | QW · Waived lab test | $26.30 | $33.88 | $40.74 |
Where Massachusetts sits
The same service costs 6.0 times more in Alaska 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· 20th of 51
$28.84
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.