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 $10.72 Median $30.20 Typical High $50.12 | Facility | None | $10.72 | $30.20 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.79 | Professional | None | $10.72 | $10.72 | $14.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $53.70 | Facility | None | $13.80 | $19.50 | $53.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.33 Median $18.20 Typical High $46.77 | Professional | None | $9.33 | $18.20 | $46.77 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.49 Median $39.81 Typical High $57.54 | Facility | None | $15.49 | $39.81 | $57.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | None | $14.13 | $14.13 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $24.55 Typical High $42.66 | Facility | None | $12.02 | $24.55 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $22.39 Typical High $70.79 | Professional | None | $11.22 | $22.39 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $26.30 Median $30.90 Typical High $4,897.79 | Facility | None | $26.30 | $30.90 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | None | $26.30 | $26.30 | $30.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.12 Median $18.20 Typical High $63.10 | Professional | None | $9.12 | $18.20 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $53.70 | Facility | None | $13.80 | $19.50 | $53.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.33 Median $18.20 Typical High $46.77 | Professional | None | $9.33 | $18.20 | $46.77 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $21.88 | Facility | None | $16.60 | $18.20 | $21.88 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $38.90 | Professional | None | $7.41 | $10.96 | $38.90 |
Well Sense Setting Facility Modifier None Typical Low $11.48 Median $20.42 Typical High $32.36 | Facility | None | $11.48 | $20.42 | $32.36 |
Well Sense Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | None | $11.48 | $11.48 | $13.80 |
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 $5.25 Median $5.25 Typical High $7.41 | Professional | 52 · Reduced service | $5.25 | $5.25 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.95 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $18.20 Median $23.99 Typical High $28.18 | Facility | QW · Waived lab test | $18.20 | $23.99 | $28.18 |
Where Massachusetts sits
The same service costs 4.1 times more in Kansas 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· 26th of 51
$18.20
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.