How much rates vary
Facilitymedian $10 · 10th to 90th $6 to $24Professionalmedian $7 · 10th to 90th $3 to $18
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 $6.76 Median $13.49 Typical High $29.51 | Facility | None | $6.76 | $13.49 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.76 Typical High $9.77 | Professional | None | $6.31 | $6.76 | $9.77 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.25 Median $7.76 Typical High $22.39 | Facility | None | $5.25 | $7.76 | $22.39 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.16 Median $7.08 Typical High $17.78 | Professional | None | $3.16 | $7.08 | $17.78 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $7.08 Typical High $16.98 | Professional | QW · Waived lab test | $6.17 | $7.08 | $16.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.77 Median $17.38 Typical High $29.51 | Facility | None | $9.77 | $17.38 | $29.51 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $8.91 | Professional | None | $6.92 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $10.00 Typical High $19.50 | Facility | None | $4.57 | $10.00 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $8.71 Typical High $26.92 | Professional | None | $4.79 | $8.71 | $26.92 |
Fallon Health Setting Facility Modifier None Typical Low $7.76 Median $9.77 Typical High $56.23 | Facility | None | $7.76 | $9.77 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $7.08 Median $9.12 Typical High $10.96 | Facility | QW · Waived lab test | $7.08 | $9.12 | $10.96 |
Fallon Health Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $11.75 | Professional | None | $7.76 | $10.00 | $11.75 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.16 Median $7.08 Typical High $28.84 | Professional | None | $3.16 | $7.08 | $28.84 |
Health New England Setting Facility Modifier None Typical Low $8.71 Median $9.77 Typical High $48.98 | Facility | None | $8.71 | $9.77 | $48.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.25 Median $7.76 Typical High $22.39 | Facility | None | $5.25 | $7.76 | $22.39 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.16 Median $7.08 Typical High $17.78 | Professional | None | $3.16 | $7.08 | $17.78 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $6.17 Median $7.08 Typical High $16.98 | Professional | QW · Waived lab test | $6.17 | $7.08 | $16.98 |
Tufts Setting Facility Modifier None Typical Low $7.08 Median $9.77 Typical High $17.78 | Facility | None | $7.08 | $9.77 | $17.78 |
Tufts Setting Professional Modifier None Typical Low $6.17 Median $7.24 Typical High $11.22 | Professional | None | $6.17 | $7.24 | $11.22 |
United Setting Facility Modifier None Typical Low $6.31 Median $7.08 Typical High $8.32 | Facility | None | $6.31 | $7.08 | $8.32 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.17 Typical High $14.79 | Professional | None | $2.82 | $4.17 | $14.79 |
Well Sense Setting Facility Modifier None Typical Low $6.17 Median $7.76 Typical High $12.30 | Facility | None | $6.17 | $7.76 | $12.30 |
Well Sense Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.71 | Professional | None | $7.24 | $7.24 | $8.71 |
2 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 $3.39 Median $3.39 Typical High $3.98 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.58 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.58 |
Where Massachusetts sits
The same service costs 9.3 times more in Vermont than in New Jersey. 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· 13th of 51
$8.51
VT $45.71NJ $4.90
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.