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 $10.96 Median $21.88 Typical High $51.29 | Facility | None | $10.96 | $21.88 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.98 | Professional | None | $10.96 | $10.96 | $16.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.12 Median $13.49 Typical High $37.15 | Facility | None | $9.12 | $13.49 | $37.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $30.90 | Professional | None | $7.41 | $12.30 | $30.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.85 Median $29.51 Typical High $47.86 | Facility | None | $15.85 | $29.51 | $47.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $14.79 | Professional | None | $11.48 | $12.02 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.38 Typical High $30.90 | Facility | None | $8.13 | $17.38 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $46.77 | Professional | None | $8.32 | $14.79 | $46.77 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $4,897.79 | Facility | None | $16.60 | $20.89 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.17 Median $12.30 Typical High $46.77 | Professional | None | $6.17 | $12.30 | $46.77 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.12 Median $13.49 Typical High $37.15 | Facility | None | $9.12 | $13.49 | $37.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $30.90 | Professional | None | $7.41 | $12.30 | $30.90 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $14.79 | Facility | None | $10.96 | $12.30 | $14.79 |
United Setting Professional Modifier None Typical Low $4.90 Median $9.55 Typical High $25.70 | Professional | None | $4.90 | $9.55 | $25.70 |
Well Sense Setting Facility Modifier None Typical Low $10.72 Median $13.49 Typical High $21.38 | Facility | None | $10.72 | $13.49 | $21.38 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
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 $5.50 Median $5.50 Typical High $6.46 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.63 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.63 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.30 Median $15.85 Typical High $19.05 | Facility | QW · Waived lab test | $12.30 | $15.85 | $19.05 |
Where Massachusetts sits
The same service costs 4.1 times more in Kansas 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· 15th of 51
$14.79
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.