How much rates vary
Facilitymedian $19 · 10th to 90th $12 to $50Professionalmedian $13 · 10th to 90th $8 to $35
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 $60.26 | Facility | None | $12.88 | $25.70 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $18.62 | Professional | None | $12.88 | $12.88 | $18.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.00 Median $14.79 Typical High $42.66 | Facility | None | $10.00 | $14.79 | $42.66 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.13 Median $13.49 Typical High $33.88 | Professional | None | $8.13 | $13.49 | $33.88 |
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 $12.59 Median $13.18 Typical High $17.38 | Professional | None | $12.59 | $13.18 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $19.05 Typical High $34.67 | Facility | None | $8.91 | $19.05 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $52.48 | Professional | None | $9.33 | $16.60 | $52.48 |
Fallon Health Setting Facility Modifier None Typical Low $15.49 Median $22.39 Typical High $4,897.79 | Facility | None | $15.49 | $22.39 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None | $19.05 | $19.05 | $22.39 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.76 Median $13.49 Typical High $52.48 | Professional | None | $6.76 | $13.49 | $52.48 |
Health New England Setting Facility Modifier None Typical Low $17.38 Median $29.51 Typical High $89.13 | Facility | None | $17.38 | $29.51 | $89.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.00 Median $14.79 Typical High $42.66 | Facility | None | $10.00 | $14.79 | $42.66 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.13 Median $13.49 Typical High $33.88 | Professional | None | $8.13 | $13.49 | $33.88 |
Tufts Setting Facility Modifier None Typical Low $13.80 Median $16.22 Typical High $21.38 | Facility | None | $13.80 | $16.22 | $21.38 |
Tufts Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $21.38 | Professional | None | $11.75 | $13.80 | $21.38 |
United Setting Facility Modifier None Typical Low $12.02 Median $13.49 Typical High $16.22 | Facility | None | $12.02 | $13.49 | $16.22 |
United Setting Professional Modifier None Typical Low $5.37 Median $9.33 Typical High $28.18 | Professional | None | $5.37 | $9.33 | $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 $16.98 | Professional | None | $14.13 | $14.13 | $16.98 |
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 $6.46 Median $6.46 Typical High $7.59 | Professional | 52 · Reduced service | $6.46 | $6.46 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.09 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.09 |
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 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska 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
$15.49
AK $37.15MD $10.00
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.