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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.72 Median $5.50 Typical High $13.80 | Facility | None | $3.72 | $5.50 | $13.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.14 Median $4.90 Typical High $12.88 | Professional | None | $2.14 | $4.90 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $5.62 Typical High $7.08 | Professional | None | $3.24 | $5.62 | $7.08 |
Fallon Health Setting Facility Modifier None Typical Low $7.24 Median $8.51 Typical High $5,888.44 | Facility | None | $7.24 | $8.51 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.51 | Professional | None | $7.24 | $7.24 | $8.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.09 Median $4.90 Typical High $10.47 | Professional | None | $2.09 | $4.90 | $10.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.72 Median $5.50 Typical High $13.80 | Facility | None | $3.72 | $5.50 | $13.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.14 Median $4.90 Typical High $12.88 | Professional | None | $2.14 | $4.90 | $12.88 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.95 Typical High $10.47 | Professional | None | $2.00 | $2.95 | $10.47 |
Well Sense Setting Facility Modifier None Typical Low $4.17 Median $4.90 Typical High $8.91 | Facility | None | $4.17 | $4.90 | $8.91 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4.90 Median $6.46 Typical High $7.59 | Facility | QW · Waived lab test | $4.90 | $6.46 | $7.59 |
Where Massachusetts sits
The same service costs 6.2 times more in Alabama than in Kentucky. 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· 17th of 51
$5.25
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.