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 $9.33 Median $26.92 Typical High $41.69 | Facility | None | $9.33 | $26.92 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | None | $9.33 | $9.33 | $11.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $64.57 | Facility | None | $18.62 | $23.99 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.80 Median $25.12 Typical High $64.57 | Professional | None | $13.80 | $25.12 | $64.57 |
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 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $19.50 Typical High $39.81 | Facility | None | $10.96 | $19.50 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $34.67 | Professional | None | $10.96 | $18.20 | $34.67 |
Fallon Health Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $5,888.44 | Facility | None | $32.36 | $42.66 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None | $35.48 | $35.48 | $42.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.49 Median $25.12 Typical High $50.12 | Professional | None | $13.49 | $25.12 | $50.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.62 Median $23.99 Typical High $64.57 | Facility | None | $18.62 | $23.99 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.80 Median $25.12 Typical High $64.57 | Professional | None | $13.80 | $25.12 | $64.57 |
United Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $30.20 | Facility | None | $22.39 | $25.12 | $30.20 |
United Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $52.48 | Professional | None | $8.32 | $15.14 | $52.48 |
Well Sense Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $43.65 | Facility | None | $21.88 | $27.54 | $43.65 |
Well Sense Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
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 $4.68 Median $4.68 Typical High $5.62 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.24 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.24 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $25.12 Median $32.36 Typical High $38.90 | Facility | QW · Waived lab test | $25.12 | $32.36 | $38.90 |
Where Massachusetts sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 18th of 51
$25.12
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.