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 $9.12 Median $14.13 Typical High $37.15 | Facility | None | $9.12 | $14.13 | $37.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.51 Median $29.51 Typical High $426.58 | Professional | None | $8.51 | $29.51 | $426.58 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $40.74 | Facility | None | $19.95 | $28.18 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $17.38 Typical High $38.90 | Facility | None | $9.33 | $17.38 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.18 Typical High $46.77 | Professional | None | $7.08 | $13.18 | $46.77 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $20.42 Typical High $5,888.44 | Facility | None | $17.38 | $20.42 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | None | $17.38 | $17.38 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.51 Median $20.42 Typical High $33.11 | Professional | None | $8.51 | $20.42 | $33.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.12 Median $14.13 Typical High $37.15 | Facility | None | $9.12 | $14.13 | $37.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.51 Median $29.51 Typical High $426.58 | Professional | None | $8.51 | $29.51 | $426.58 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.02 Typical High $14.45 | Facility | None | $10.96 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $31.62 | Professional | None | $7.24 | $12.02 | $31.62 |
Well Sense Setting Facility Modifier None Typical Low $10.72 Median $14.79 Typical High $21.88 | Facility | None | $10.72 | $14.79 | $21.88 |
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 $12.02 Median $15.85 Typical High $18.62 | Facility | QW · Waived lab test | $12.02 | $15.85 | $18.62 |
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· 4th of 51
$18.62
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.