How much rates vary
Facilitymedian $12 · 10th to 90th $8 to $31Professionalmedian $9 · 10th to 90th $4 to $23
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 $8.32 Median $15.14 Typical High $38.90 | Facility | None | $8.32 | $15.14 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $12.88 | Professional | None | $7.76 | $8.32 | $12.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.46 Median $9.55 Typical High $27.54 | Facility | None | $6.46 | $9.55 | $27.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $21.88 | Professional | None | $3.47 | $8.71 | $21.88 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $7.59 Median $8.71 Typical High $21.38 | Professional | QW · Waived lab test | $7.59 | $8.71 | $21.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.02 Median $21.38 Typical High $36.31 | Facility | None | $12.02 | $21.38 | $36.31 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $11.22 | Professional | None | $8.51 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.30 Typical High $22.91 | Facility | None | $5.75 | $12.30 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.72 Typical High $34.67 | Professional | None | $6.03 | $10.72 | $34.67 |
Fallon Health Setting Facility Modifier None Typical Low $9.55 Median $12.30 Typical High $83.18 | Facility | None | $9.55 | $12.30 | $83.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.71 Median $11.22 Typical High $13.49 | Facility | QW · Waived lab test | $8.71 | $11.22 | $13.49 |
Fallon Health Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $14.45 | Professional | None | $9.55 | $12.30 | $14.45 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $35.48 | Professional | None | $3.47 | $8.71 | $35.48 |
Health New England Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $63.10 | Facility | None | $10.72 | $17.78 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.46 Median $9.55 Typical High $27.54 | Facility | None | $6.46 | $9.55 | $27.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $21.88 | Professional | None | $3.47 | $8.71 | $21.88 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $7.59 Median $8.71 Typical High $21.38 | Professional | QW · Waived lab test | $7.59 | $8.71 | $21.38 |
Tufts Setting Facility Modifier None Typical Low $7.59 Median $9.77 Typical High $19.50 | Facility | None | $7.59 | $9.77 | $19.50 |
Tufts Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $13.80 | Professional | None | $7.59 | $8.91 | $13.80 |
United Setting Facility Modifier None Typical Low $7.76 Median $8.71 Typical High $10.47 | Facility | None | $7.76 | $8.71 | $10.47 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $18.20 | Professional | None | $3.16 | $5.25 | $18.20 |
Well Sense Setting Facility Modifier None Typical Low $7.59 Median $9.55 Typical High $15.14 | Facility | None | $7.59 | $9.55 | $15.14 |
Well Sense Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | None | $9.12 | $9.12 | $10.96 |
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 $4.17 Median $4.17 Typical High $4.90 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.00 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.00 |
Where Massachusetts sits
The same service costs 10.5 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· 19th of 51
$10.47
VT $67.61MD $6.46
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.