How much rates vary
Facilitymedian $8 · 10th to 90th $5 to $19Professionalmedian $6 · 10th to 90th $3 to $15
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 $5.13 Median $10.23 Typical High $22.91 | Facility | None | $5.13 | $10.23 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $10.00 | Professional | None | $5.13 | $5.13 | $10.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.37 Median $6.31 Typical High $17.78 | Facility | None | $4.37 | $6.31 | $17.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $14.45 | Professional | None | $3.47 | $5.75 | $14.45 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $5.13 Median $5.75 Typical High $14.13 | Professional | QW · Waived lab test | $5.13 | $5.75 | $14.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.08 Median $14.45 Typical High $21.38 | Facility | None | $7.08 | $14.45 | $21.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.37 Median $5.62 Typical High $6.76 | Professional | None | $5.37 | $5.62 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.32 Typical High $15.14 | Facility | None | $3.98 | $8.32 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $7.08 Typical High $22.91 | Professional | None | $3.98 | $7.08 | $22.91 |
Fallon Health Setting Facility Modifier None Typical Low $6.03 Median $8.13 Typical High $56.23 | Facility | None | $6.03 | $8.13 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.75 Median $7.59 Typical High $8.91 | Facility | QW · Waived lab test | $5.75 | $7.59 | $8.91 |
Fallon Health Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $9.55 | Professional | None | $6.46 | $8.13 | $9.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.88 Median $5.75 Typical High $23.44 | Professional | None | $2.88 | $5.75 | $23.44 |
Health New England Setting Facility Modifier None Typical Low $7.08 Median $8.71 Typical High $60.26 | Facility | None | $7.08 | $8.71 | $60.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.37 Median $6.31 Typical High $17.78 | Facility | None | $4.37 | $6.31 | $17.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $14.45 | Professional | None | $3.47 | $5.75 | $14.45 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $5.13 Median $5.75 Typical High $14.13 | Professional | QW · Waived lab test | $5.13 | $5.75 | $14.13 |
Tufts Setting Facility Modifier None Typical Low $5.13 Median $6.17 Typical High $10.72 | Facility | None | $5.13 | $6.17 | $10.72 |
Tufts Setting Professional Modifier None Typical Low $5.13 Median $5.62 Typical High $9.33 | Professional | None | $5.13 | $5.62 | $9.33 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.75 Typical High $6.92 | Facility | None | $5.25 | $5.75 | $6.92 |
United Setting Professional Modifier None Typical Low $2.29 Median $4.47 Typical High $12.02 | Professional | None | $2.29 | $4.47 | $12.02 |
Well Sense Setting Facility Modifier None Typical Low $5.13 Median $6.31 Typical High $10.00 | Facility | None | $5.13 | $6.31 | $10.00 |
Well Sense Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $6.76 | Professional | None | $5.62 | $5.62 | $6.76 |
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 $2.57 Median $2.57 Typical High $3.09 | Professional | 52 · Reduced service | $2.57 | $2.57 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.23 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.23 |
Where Massachusetts sits
The same service costs 12.9 times more in Vermont than in Alabama. 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
$6.92
VT $51.29AL $3.98
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.