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 $30.90 Typical High $51.29 | Facility | None | $10.96 | $30.90 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $22.39 | Professional | None | $10.96 | $10.96 | $22.39 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.75 Median $16.98 Typical High $46.77 | Facility | None | $11.75 | $16.98 | $46.77 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.55 Median $16.22 Typical High $40.74 | Professional | None | $9.55 | $16.22 | $40.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.85 Median $32.36 Typical High $47.86 | Facility | None | $15.85 | $32.36 | $47.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | None | $14.79 | $14.79 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $19.50 Typical High $33.88 | Facility | None | $10.47 | $19.50 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $19.50 Typical High $63.10 | Professional | None | $9.12 | $19.50 | $63.10 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $4,897.79 | Facility | None | $21.38 | $26.92 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.94 Median $16.22 Typical High $54.95 | Professional | None | $7.94 | $16.22 | $54.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.75 Median $16.98 Typical High $46.77 | Facility | None | $11.75 | $16.98 | $46.77 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.55 Median $16.22 Typical High $40.74 | Professional | None | $9.55 | $16.22 | $40.74 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $19.50 | Facility | None | $14.45 | $16.22 | $19.50 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $33.88 | Professional | None | $6.46 | $9.55 | $33.88 |
Well Sense Setting Facility Modifier None Typical Low $12.02 Median $17.78 Typical High $28.18 | Facility | None | $12.02 | $17.78 | $28.18 |
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 $16.22 Median $20.89 Typical High $25.12 | Facility | QW · Waived lab test | $16.22 | $20.89 | $25.12 |
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· 20th of 51
$16.22
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.