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 $4.47 Median $12.88 Typical High $21.38 | Facility | None | $4.47 | $12.88 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.37 | Professional | None | $4.47 | $4.47 | $5.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.37 Median $6.17 Typical High $17.38 | Facility | None | $4.37 | $6.17 | $17.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $14.45 | Professional | None | $3.47 | $5.75 | $14.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.12 Median $12.88 Typical High $18.62 | Facility | None | $9.12 | $12.88 | $18.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.50 Median $5.62 Typical High $6.03 | Professional | None | $5.50 | $5.62 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $7.59 Typical High $12.30 | Facility | None | $3.80 | $7.59 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $7.08 Typical High $22.91 | Professional | None | $3.47 | $7.08 | $22.91 |
Fallon Health Setting Facility Modifier None Typical Low $5.50 Median $9.55 Typical High $4,897.79 | Facility | None | $5.50 | $9.55 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $19.95 | Professional | None | $3.47 | $5.75 | $19.95 |
Health New England Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $38.90 | Facility | None | $10.47 | $10.47 | $38.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.37 Median $6.17 Typical High $17.38 | Facility | None | $4.37 | $6.17 | $17.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $14.45 | Professional | None | $3.47 | $5.75 | $14.45 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $13.49 | Facility | None | $5.75 | $5.75 | $13.49 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.75 Typical High $12.02 | Professional | None | $3.16 | $5.75 | $12.02 |
Well Sense Setting Facility Modifier None Typical Low $5.01 Median $6.46 Typical High $10.00 | Facility | None | $5.01 | $6.46 | $10.00 |
Well Sense Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | None | $5.01 | $5.01 | $5.89 |
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 $2.24 Median $2.24 Typical High $2.69 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $1.07 | Professional | 53 · Discontinued | $0.89 | $0.89 | $1.07 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.75 Median $7.59 Typical High $8.91 | Facility | QW · Waived lab test | $5.75 | $7.59 | $8.91 |
Where Massachusetts sits
The same service costs 3.9 times more in Kansas 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· 20th of 51
$6.17
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.