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 $19.95 Median $30.90 Typical High $83.18 | Facility | None | $19.95 | $30.90 | $83.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.22 Median $56.23 Typical High $263.03 | Professional | None | $16.22 | $56.23 | $263.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $53.70 Typical High $83.18 | Facility | None | $27.54 | $53.70 | $83.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | None | $25.12 | $25.12 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $37.15 Typical High $77.62 | Facility | None | $19.05 | $37.15 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $29.51 Typical High $104.71 | Professional | None | $15.85 | $29.51 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $44.67 Typical High $5,888.44 | Facility | None | $36.31 | $44.67 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $70.79 | Professional | None | $16.22 | $26.92 | $70.79 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $83.18 | Facility | None | $19.95 | $30.90 | $83.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.22 Median $56.23 Typical High $263.03 | Professional | None | $16.22 | $56.23 | $263.03 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $32.36 | Facility | None | $23.99 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $51.29 | Professional | None | $10.72 | $16.22 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $48.98 | Facility | None | $23.44 | $33.11 | $48.98 |
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 $26.92 Median $34.67 Typical High $41.69 | Facility | QW · Waived lab test | $26.92 | $34.67 | $41.69 |
Where Massachusetts sits
The same service costs 5.1 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· 20th of 51
$29.51
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.