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 $19.50 Median $38.90 Typical High $85.11 | Facility | None | $19.50 | $38.90 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $79.43 | Professional | None | $19.50 | $19.50 | $79.43 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $56.23 | Facility | None | $18.62 | $25.12 | $56.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.02 Median $51.29 Typical High $147.91 | Professional | None | $12.02 | $51.29 | $147.91 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $39.81 Median $56.23 Typical High $79.43 | Facility | None | $39.81 | $56.23 | $79.43 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $25.70 | Professional | None | $19.05 | $19.95 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $34.67 Typical High $77.62 | Facility | None | $16.22 | $34.67 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.79 | Professional | None | $10.72 | $10.72 | $14.79 |
Fallon Health Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $5,888.44 | Facility | None | $28.84 | $34.67 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.02 Median $29.51 Typical High $48.98 | Professional | None | $12.02 | $29.51 | $48.98 |
Health New England Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $56.23 | Facility | None | $18.62 | $25.12 | $56.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.02 Median $51.29 Typical High $147.91 | Professional | None | $12.02 | $51.29 | $147.91 |
Tufts Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $33.11 | Facility | None | $17.78 | $22.91 | $33.11 |
United Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $24.55 | Facility | None | $18.20 | $20.42 | $24.55 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $40.74 | Professional | None | $8.13 | $12.02 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $17.78 Median $24.55 Typical High $37.15 | Facility | None | $17.78 | $24.55 | $37.15 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None | $24.55 | $24.55 | $29.51 |
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 $9.55 Median $9.55 Typical High $38.90 | Professional | 52 · Reduced service | $9.55 | $9.55 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $15.85 | Professional | 53 · Discontinued | $3.89 | $3.89 | $15.85 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.42 Median $26.30 Typical High $31.62 | Facility | QW · Waived lab test | $20.42 | $26.30 | $31.62 |
Where Massachusetts sits
The same service costs 4.7 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· 9th of 51
$28.84
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.