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 $11.48 Median $22.91 Typical High $53.70 | Facility | None | $11.48 | $22.91 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.98 | Professional | None | $11.48 | $11.48 | $16.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $38.90 | Facility | None | $9.33 | $13.49 | $38.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $30.90 | Professional | None | $8.13 | $12.30 | $30.90 |
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 $11.48 Median $12.02 Typical High $15.49 | Professional | None | $11.48 | $12.02 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $18.20 Typical High $30.90 | Facility | None | $8.13 | $18.20 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $48.98 | Professional | None | $8.32 | $14.79 | $48.98 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $4,897.79 | Facility | None | $17.38 | $20.89 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.89 | Professional | None | $17.78 | $17.78 | $20.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.76 Median $12.30 Typical High $46.77 | Professional | None | $7.76 | $12.30 | $46.77 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $38.90 | Facility | None | $9.33 | $13.49 | $38.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $30.90 | Professional | None | $8.13 | $12.30 | $30.90 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $60.26 | Facility | None | $12.30 | $12.30 | $60.26 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.30 Typical High $25.70 | Professional | None | $7.41 | $12.30 | $25.70 |
Well Sense Setting Facility Modifier None Typical Low $10.96 Median $13.49 Typical High $21.38 | Facility | None | $10.96 | $13.49 | $21.38 |
Well Sense Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | None | $12.59 | $12.59 | $15.14 |
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 $5.75 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.75 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.30 Median $15.85 Typical High $19.05 | Facility | QW · Waived lab test | $12.30 | $15.85 | $19.05 |
Where Massachusetts sits
The same service costs 3.5 times more in Kansas than in Georgia. 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· 18th of 51
$14.45
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.