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 $16.98 Median $47.86 Typical High $79.43 | Facility | None | $16.98 | $47.86 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | None | $16.98 | $16.98 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.22 Median $22.91 Typical High $64.57 | Facility | None | $16.22 | $22.91 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $54.95 | Professional | None | $13.18 | $21.88 | $54.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $24.55 Median $43.65 Typical High $74.13 | Facility | None | $24.55 | $43.65 | $74.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $22.39 | Professional | None | $20.42 | $21.38 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $28.18 Typical High $46.77 | Facility | None | $14.45 | $28.18 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $26.92 Typical High $85.11 | Professional | None | $13.18 | $26.92 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $4,897.79 | Facility | None | $31.62 | $37.15 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None | $31.62 | $31.62 | $37.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $75.86 | Professional | None | $10.96 | $21.88 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.22 Median $22.91 Typical High $64.57 | Facility | None | $16.22 | $22.91 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $54.95 | Professional | None | $13.18 | $21.88 | $54.95 |
United Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $26.30 | Facility | None | $19.50 | $21.88 | $26.30 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.79 Typical High $45.71 | Professional | None | $8.71 | $14.79 | $45.71 |
Well Sense Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $38.02 | Facility | None | $18.62 | $23.99 | $38.02 |
Well Sense Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
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 $8.32 Median $8.32 Typical High $10.00 | Professional | 52 · Reduced service | $8.32 | $8.32 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.98 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.98 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $21.88 Median $28.18 Typical High $33.88 | Facility | QW · Waived lab test | $21.88 | $28.18 | $33.88 |
Where Massachusetts sits
The same service costs 4.7 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· 21st of 51
$22.91
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.