How much rates vary
Facilitymedian $42 · 10th to 90th $26 to $105Professionalmedian $30 · 10th to 90th $18 to $78
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 $28.18 Median $51.29 Typical High $125.89 | Facility | None | $28.18 | $51.29 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $51.29 | Professional | None | $26.92 | $28.18 | $51.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $93.33 | Facility | None | $22.39 | $32.36 | $93.33 |
AllWays Health Partners Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $74.13 | Professional | None | $17.78 | $29.51 | $74.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $41.69 Median $72.44 Typical High $125.89 | Facility | None | $41.69 | $72.44 | $125.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $37.15 | Professional | None | $27.54 | $28.84 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $42.66 Typical High $75.86 | Facility | None | $20.42 | $42.66 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $36.31 Typical High $114.82 | Professional | None | $20.42 | $36.31 | $114.82 |
Fallon Health Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $4,897.79 | Facility | None | $41.69 | $50.12 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | None | $42.66 | $42.66 | $50.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.79 Median $29.51 Typical High $114.82 | Professional | None | $14.79 | $29.51 | $114.82 |
Health New England Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $165.96 | Facility | None | $36.31 | $43.65 | $165.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $93.33 | Facility | None | $22.39 | $32.36 | $93.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $74.13 | Professional | None | $17.78 | $29.51 | $74.13 |
Tufts Setting Facility Modifier None Typical Low $26.30 Median $33.88 Typical High $57.54 | Facility | None | $26.30 | $33.88 | $57.54 |
Tufts Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $47.86 | Professional | None | $26.30 | $32.36 | $47.86 |
United Setting Facility Modifier None Typical Low $26.92 Median $29.51 Typical High $35.48 | Facility | None | $26.92 | $29.51 | $35.48 |
United Setting Professional Modifier None Typical Low $11.75 Median $22.91 Typical High $63.10 | Professional | None | $11.75 | $22.91 | $63.10 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $32.36 Typical High $51.29 | Facility | None | $26.30 | $32.36 | $51.29 |
Well Sense Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | None | $30.90 | $30.90 | $37.15 |
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 $14.13 Median $14.13 Typical High $16.98 | Professional | 52 · Reduced service | $14.13 | $14.13 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $6.76 | Professional | 53 · Discontinued | $5.62 | $5.62 | $6.76 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $29.51 Median $38.90 Typical High $45.71 | Facility | QW · Waived lab test | $29.51 | $38.90 | $45.71 |
Where Massachusetts sits
The same service costs 6.8 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· 19th of 51
$34.67
VT $120AL $17.78
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.