How much rates vary
Facilitymedian $19 · 10th to 90th $12 to $46Professionalmedian $13 · 10th to 90th $7 to $37
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 $12.88 Median $25.70 Typical High $36.31 | Facility | None | $12.88 | $25.70 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $18.62 | Professional | None | $12.02 | $12.88 | $18.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $42.66 | Facility | None | $10.00 | $14.45 | $42.66 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.41 Median $13.49 Typical High $38.02 | Professional | None | $7.41 | $13.49 | $38.02 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $11.75 Median $13.49 Typical High $32.36 | Professional | QW · Waived lab test | $11.75 | $13.49 | $32.36 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.05 Median $33.11 Typical High $57.54 | Facility | None | $19.05 | $33.11 | $57.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $16.60 | Professional | None | $13.18 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $18.62 Typical High $33.88 | Facility | None | $8.71 | $18.62 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $16.22 Typical High $52.48 | Professional | None | $10.00 | $16.22 | $52.48 |
Fallon Health Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $83.18 | Facility | None | $14.79 | $18.62 | $83.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.49 Median $17.38 Typical High $20.89 | Facility | QW · Waived lab test | $13.49 | $17.38 | $20.89 |
Fallon Health Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $22.39 | Professional | None | $14.79 | $19.05 | $22.39 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.76 Median $13.49 Typical High $54.95 | Professional | None | $6.76 | $13.49 | $54.95 |
Health New England Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $85.11 | Facility | None | $16.22 | $25.12 | $85.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $42.66 | Facility | None | $10.00 | $14.45 | $42.66 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.41 Median $13.49 Typical High $38.02 | Professional | None | $7.41 | $13.49 | $38.02 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $11.75 Median $13.49 Typical High $32.36 | Professional | QW · Waived lab test | $11.75 | $13.49 | $32.36 |
Tufts Setting Facility Modifier None Typical Low $11.75 Median $15.14 Typical High $24.55 | Facility | None | $11.75 | $15.14 | $24.55 |
Tufts Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $21.38 | Professional | None | $11.75 | $14.45 | $21.38 |
United Setting Facility Modifier None Typical Low $3.63 Median $13.49 Typical High $13.49 | Facility | None | $3.63 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $28.18 | Professional | None | $5.37 | $7.94 | $28.18 |
Well Sense Setting Facility Modifier None Typical Low $11.75 Median $14.79 Typical High $23.44 | Facility | None | $11.75 | $14.79 | $23.44 |
Well Sense Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | None | $14.13 | $14.13 | $16.60 |
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 $6.31 Median $6.31 Typical High $7.59 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.02 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.02 |
Where Massachusetts sits
The same service costs 10.7 times more in Vermont than in Maryland. 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· 20th of 51
$15.85
VT $110MD $10.23
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.