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 $19.05 Median $53.70 Typical High $89.13 | Facility | None | $19.05 | $53.70 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $89.13 | Professional | None | $19.05 | $19.05 | $89.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $64.57 | Facility | None | $18.20 | $28.18 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.02 Median $42.66 Typical High $173.78 | Professional | None | $12.02 | $42.66 | $173.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $48.98 Typical High $83.18 | Facility | None | $27.54 | $48.98 | $83.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | None | $19.05 | $19.05 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $33.88 Typical High $77.62 | Facility | None | $16.22 | $33.88 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $22.39 Typical High $77.62 | Professional | None | $12.02 | $22.39 | $77.62 |
Fallon Health Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $5,888.44 | Facility | None | $28.84 | $33.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | None | $28.84 | $28.84 | $33.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $64.57 | Professional | None | $12.02 | $19.95 | $64.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $64.57 | Facility | None | $18.20 | $28.18 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.02 Median $42.66 Typical High $173.78 | Professional | None | $12.02 | $42.66 | $173.78 |
United Setting Facility Modifier None Typical Low $18.20 Median $19.95 Typical High $23.99 | Facility | None | $18.20 | $19.95 | $23.99 |
United Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $40.74 | Professional | None | $7.94 | $12.02 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $17.78 Median $24.55 Typical High $36.31 | Facility | None | $17.78 | $24.55 | $36.31 |
Well Sense Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $25.12 | Professional | None | $20.89 | $20.89 | $25.12 |
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 $9.55 Median $9.55 Typical High $44.67 | Professional | 52 · Reduced service | $9.55 | $9.55 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $17.78 | Professional | 53 · Discontinued | $3.80 | $3.80 | $17.78 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $19.95 Median $26.30 Typical High $30.90 | Facility | QW · Waived lab test | $19.95 | $26.30 | $30.90 |
Where Massachusetts sits
The same service costs 5.5 times more in Texas 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· 10th of 51
$28.18
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.