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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | None | $4.27 | $4.27 | $4.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $16.60 | Facility | None | $8.51 | $10.23 | $16.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.00 Median $4.57 Typical High $42.66 | Professional | None | $2.00 | $4.57 | $42.66 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.55 Median $10.00 Typical High $14.45 | Facility | None | $3.55 | $10.00 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $5.37 Typical High $17.38 | Facility | None | $3.31 | $5.37 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.63 Typical High $14.45 | Professional | None | $2.63 | $3.63 | $14.45 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $19.05 Typical High $5,888.44 | Facility | None | $16.22 | $19.05 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | None | $16.22 | $16.22 | $19.05 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.02 Median $9.55 Typical High $23.99 | Professional | None | $3.02 | $9.55 | $23.99 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $16.60 | Facility | None | $8.51 | $10.23 | $16.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.00 Median $4.57 Typical High $42.66 | Professional | None | $2.00 | $4.57 | $42.66 |
United Setting Facility Modifier None Typical Low $10.23 Median $11.22 Typical High $13.49 | Facility | None | $10.23 | $11.22 | $13.49 |
United Setting Professional Modifier None Typical Low $2.00 Median $4.57 Typical High $22.91 | Professional | None | $2.00 | $4.57 | $22.91 |
Well Sense Setting Facility Modifier None Typical Low $9.33 Median $11.75 Typical High $18.62 | Facility | None | $9.33 | $11.75 | $18.62 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $2.14 Median $2.14 Typical High $2.14 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 53 · Discontinued | $0.85 | $0.85 | $0.85 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.22 Median $14.79 Typical High $17.38 | Facility | QW · Waived lab test | $11.22 | $14.79 | $17.38 |
Where Massachusetts sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 15th of 51
$8.51
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.