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 $5.75 Median $16.22 Typical High $26.92 | Facility | None | $5.75 | $16.22 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $26.92 | Professional | None | $5.75 | $5.75 | $26.92 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $43.65 | Facility | None | $10.72 | $16.60 | $43.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.71 Median $38.90 Typical High $100.00 | Professional | None | $8.71 | $38.90 | $100.00 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $46.77 | Facility | None | $23.44 | $33.11 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $13.80 | Professional | None | $7.59 | $7.59 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $12.02 Typical High $25.70 | Facility | None | $8.51 | $12.02 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $70.79 | Professional | None | $8.71 | $15.85 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $7.76 Median $24.55 Typical High $5,888.44 | Facility | None | $7.76 | $24.55 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.71 Median $25.12 Typical High $38.02 | Professional | None | $8.71 | $25.12 | $38.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $43.65 | Facility | None | $10.72 | $16.60 | $43.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.71 Median $38.90 Typical High $100.00 | Professional | None | $8.71 | $38.90 | $100.00 |
United Setting Facility Modifier None Typical Low $13.18 Median $14.79 Typical High $17.38 | Facility | None | $13.18 | $14.79 | $17.38 |
United Setting Professional Modifier None Typical Low $5.25 Median $14.79 Typical High $37.15 | Professional | None | $5.25 | $14.79 | $37.15 |
Well Sense Setting Facility Modifier None Typical Low $12.88 Median $17.78 Typical High $26.30 | Facility | None | $12.88 | $17.78 | $26.30 |
Well Sense Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | None | $6.31 | $6.31 | $7.59 |
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 $2.88 Median $2.88 Typical High $13.49 | Professional | 52 · Reduced service | $2.88 | $2.88 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $5.37 | Professional | 53 · Discontinued | $1.12 | $1.12 | $5.37 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.79 Median $19.05 Typical High $22.91 | Facility | QW · Waived lab test | $14.79 | $19.05 | $22.91 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Delaware. 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
$23.44
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.