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 $4.79 Median $13.49 Typical High $21.38 | Facility | None | $4.79 | $13.49 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.75 | Professional | None | $4.79 | $4.79 | $5.75 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.72 Median $5.37 Typical High $13.49 | Facility | None | $3.72 | $5.37 | $13.49 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $12.88 | Professional | None | $2.95 | $4.90 | $12.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.77 Median $13.80 Typical High $19.50 | Facility | None | $9.77 | $13.80 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $3.24 Median $7.24 Typical High $12.88 | Facility | None | $3.24 | $7.24 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $3.89 Typical High $7.08 | Professional | None | $2.95 | $3.89 | $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 $2.51 Median $4.90 Typical High $10.72 | Professional | None | $2.51 | $4.90 | $10.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.72 Median $5.37 Typical High $13.49 | Facility | None | $3.72 | $5.37 | $13.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $12.88 | Professional | None | $2.95 | $4.90 | $12.88 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.90 Typical High $5.89 | Facility | None | $4.47 | $4.90 | $5.89 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.80 Typical High $10.72 | Professional | None | $2.00 | $3.80 | $10.72 |
Well Sense Setting Facility Modifier None Typical Low $4.37 Median $5.50 Typical High $8.71 | Facility | None | $4.37 | $5.50 | $8.71 |
Well Sense Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.31 | Professional | None | $5.25 | $5.25 | $6.31 |
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 $2.40 Median $2.40 Typical High $2.88 | Professional | 52 · Reduced service | $2.40 | $2.40 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.15 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.15 |
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 3.6 times more in Alaska than in New Mexico. 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· 16th of 51
$5.50
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.