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 $21.88 Median $33.88 Typical High $91.20 | Facility | None | $21.88 | $33.88 | $91.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.98 Median $69.18 Typical High $181.97 | Professional | None | $16.98 | $69.18 | $181.97 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $58.88 Typical High $85.11 | Facility | None | $27.54 | $58.88 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $40.74 Typical High $77.62 | Facility | None | $19.50 | $40.74 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $114.82 | Professional | None | $16.22 | $32.36 | $114.82 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $50.12 Typical High $5,888.44 | Facility | None | $36.31 | $50.12 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | None | $42.66 | $42.66 | $50.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $74.13 | Professional | None | $16.98 | $29.51 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $21.88 Median $33.88 Typical High $91.20 | Facility | None | $21.88 | $33.88 | $91.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.98 Median $69.18 Typical High $181.97 | Professional | None | $16.98 | $69.18 | $181.97 |
United Setting Facility Modifier None Typical Low $26.92 Median $29.51 Typical High $35.48 | Facility | None | $26.92 | $29.51 | $35.48 |
United Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $69.18 | Professional | None | $12.02 | $17.78 | $69.18 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $36.31 Typical High $53.70 | Facility | None | $26.30 | $36.31 | $53.70 |
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 $29.51 Median $38.90 Typical High $45.71 | Facility | QW · Waived lab test | $29.51 | $38.90 | $45.71 |
Where Massachusetts sits
The same service costs 5.4 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
$35.48
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.