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 $9.55 Median $27.54 Typical High $45.71 | Facility | None | $9.55 | $27.54 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $45.71 | Professional | None | $9.55 | $9.55 | $45.71 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.55 Median $14.79 Typical High $39.81 | Facility | None | $9.55 | $14.79 | $39.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.51 Median $31.62 Typical High $602.56 | Professional | None | $8.51 | $31.62 | $602.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $41.69 | Facility | None | $20.42 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $18.20 Typical High $38.90 | Facility | None | $9.55 | $18.20 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $51.29 | Professional | None | $7.76 | $14.45 | $51.29 |
Fallon Health Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $5,888.44 | Facility | None | $18.20 | $21.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.51 Median $21.88 Typical High $35.48 | Professional | None | $8.51 | $21.88 | $35.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.55 Median $14.79 Typical High $39.81 | Facility | None | $9.55 | $14.79 | $39.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.51 Median $31.62 Typical High $602.56 | Professional | None | $8.51 | $31.62 | $602.56 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $15.85 | Facility | None | $11.75 | $13.18 | $15.85 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.18 Typical High $33.11 | Professional | None | $7.76 | $13.18 | $33.11 |
Well Sense Setting Facility Modifier None Typical Low $11.48 Median $15.85 Typical High $23.99 | Facility | None | $11.48 | $15.85 | $23.99 |
Well Sense Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | None | $10.47 | $10.47 | $12.59 |
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 $4.79 Median $4.79 Typical High $22.39 | Professional | 52 · Reduced service | $4.79 | $4.79 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $9.12 | Professional | 53 · Discontinued | $1.91 | $1.91 | $9.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.18 Median $16.98 Typical High $20.42 | Facility | QW · Waived lab test | $13.18 | $16.98 | $20.42 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska 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· 6th of 51
$19.50
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.