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 $14.45 Median $40.74 Typical High $67.61 | Facility | None | $14.45 | $40.74 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $67.61 | Professional | None | $14.45 | $14.45 | $67.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $56.23 | Facility | None | $16.22 | $25.12 | $56.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.59 Median $47.86 Typical High $134.90 | Professional | None | $12.59 | $47.86 | $134.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $35.48 Median $50.12 Typical High $70.79 | Facility | None | $35.48 | $50.12 | $70.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.05 | Professional | None | $16.98 | $16.98 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $28.84 Typical High $57.54 | Facility | None | $14.45 | $28.84 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $28.84 Typical High $70.79 | Professional | None | $10.96 | $28.84 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $30.20 Typical High $5,888.44 | Facility | None | $24.55 | $30.20 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.72 Median $30.90 Typical High $46.77 | Professional | None | $10.72 | $30.90 | $46.77 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $56.23 | Facility | None | $16.22 | $25.12 | $56.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.59 Median $47.86 Typical High $134.90 | Professional | None | $12.59 | $47.86 | $134.90 |
United Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $21.38 | Facility | None | $16.22 | $17.78 | $21.38 |
United Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $44.67 | Professional | None | $10.72 | $17.78 | $44.67 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $21.88 Typical High $32.36 | Facility | None | $15.85 | $21.88 | $32.36 |
Well Sense Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.05 | Professional | None | $15.85 | $15.85 | $19.05 |
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 $7.24 Median $7.24 Typical High $33.88 | Professional | 52 · Reduced service | $7.24 | $7.24 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $13.49 | Professional | 53 · Discontinued | $2.88 | $2.88 | $13.49 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $17.78 Median $23.44 Typical High $28.18 | Facility | QW · Waived lab test | $17.78 | $23.44 | $28.18 |
Where Massachusetts sits
The same service costs 10.2 times more in Texas than in New Jersey. 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· 9th of 51
$30.90
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.