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 $10.00 Median $14.13 Typical High $47.86 | Facility | None | $10.00 | $14.13 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $47.86 | Professional | None | $10.00 | $10.00 | $47.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $72.44 | Facility | None | $17.78 | $27.54 | $72.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.45 Median $63.10 Typical High $120.23 | Professional | None | $14.45 | $63.10 | $120.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $38.02 Median $53.70 Typical High $77.62 | Facility | None | $38.02 | $53.70 | $77.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $22.39 | Professional | None | $13.49 | $13.49 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $22.39 Typical High $42.66 | Facility | None | $15.14 | $22.39 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $25.70 Typical High $114.82 | Professional | None | $14.45 | $25.70 | $114.82 |
Fallon Health Setting Facility Modifier None Typical Low $6.46 Median $40.74 Typical High $5,888.44 | Facility | None | $6.46 | $40.74 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.45 Median $40.74 Typical High $61.66 | Professional | None | $14.45 | $40.74 | $61.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $72.44 | Facility | None | $17.78 | $27.54 | $72.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.45 Median $63.10 Typical High $120.23 | Professional | None | $14.45 | $63.10 | $120.23 |
United Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $28.84 | Facility | None | $21.88 | $23.99 | $28.84 |
United Setting Professional Modifier None Typical Low $8.91 Median $23.99 Typical High $60.26 | Professional | None | $8.91 | $23.99 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $21.38 Median $29.51 Typical High $43.65 | Facility | None | $21.38 | $29.51 | $43.65 |
Well Sense Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $13.18 | Professional | None | $10.96 | $10.96 | $13.18 |
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 $5.01 Median $5.01 Typical High $23.44 | Professional | 52 · Reduced service | $5.01 | $5.01 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $9.55 | Professional | 53 · Discontinued | $2.00 | $2.00 | $9.55 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $23.99 Median $30.90 Typical High $37.15 | Facility | QW · Waived lab test | $23.99 | $30.90 | $37.15 |
Where Massachusetts sits
The same service costs 8.9 times more in Texas than in Kentucky. 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· 6th of 51
$38.02
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.