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 $10.96 Median $21.88 Typical High $47.86 | Facility | None | $10.96 | $21.88 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $44.67 | Professional | None | $10.96 | $10.96 | $44.67 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $44.67 | Facility | None | $10.72 | $16.60 | $44.67 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.12 Median $46.77 Typical High $93.33 | Professional | None | $9.12 | $46.77 | $93.33 |
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 $14.13 Median $14.45 Typical High $17.38 | Professional | None | $14.13 | $14.45 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $20.42 Typical High $43.65 | Facility | None | $10.72 | $20.42 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $10.96 | Professional | None | $8.13 | $8.13 | $10.96 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $31.62 Typical High $5,888.44 | Facility | None | $16.60 | $31.62 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | None | $26.92 | $26.92 | $31.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.12 Median $24.55 Typical High $45.71 | Professional | None | $9.12 | $24.55 | $45.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $44.67 | Facility | None | $10.72 | $16.60 | $44.67 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.12 Median $46.77 Typical High $93.33 | Professional | None | $9.12 | $46.77 | $93.33 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $22.39 | Facility | None | $16.60 | $18.62 | $22.39 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $28.84 | Professional | None | $6.03 | $9.12 | $28.84 |
Well Sense Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $31.62 | Facility | None | $15.14 | $20.89 | $31.62 |
Well Sense Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
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 $5.37 Median $5.37 Typical High $21.88 | Professional | 52 · Reduced service | $5.37 | $5.37 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $8.91 | Professional | 53 · Discontinued | $2.19 | $2.19 | $8.91 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $18.62 Median $23.99 Typical High $28.84 | Facility | QW · Waived lab test | $18.62 | $23.99 | $28.84 |
Where Massachusetts sits
The same service costs 6.6 times more in Texas 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· 6th of 51
$25.70
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.