How much rates vary
Facilitymedian $7 · 10th to 90th $5 to $18Professionalmedian $5 · 10th to 90th $3 to $14
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 $4.90 Median $9.12 Typical High $21.88 | Facility | None | $4.90 | $9.12 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.90 Typical High $7.59 | Professional | None | $4.79 | $4.90 | $7.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.89 Median $5.62 Typical High $16.60 | Facility | None | $3.89 | $5.62 | $16.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $5.13 Typical High $12.88 | Professional | None | $2.09 | $5.13 | $12.88 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $4.57 Median $5.13 Typical High $12.59 | Professional | QW · Waived lab test | $4.57 | $5.13 | $12.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.24 Median $12.88 Typical High $21.88 | Facility | None | $7.24 | $12.88 | $21.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $6.61 | Professional | None | $5.01 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $7.41 Typical High $13.49 | Facility | None | $3.39 | $7.41 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $6.17 Typical High $20.42 | Professional | None | $3.47 | $6.17 | $20.42 |
Fallon Health Setting Facility Modifier None Typical Low $5.75 Median $7.24 Typical High $56.23 | Facility | None | $5.75 | $7.24 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.13 Median $6.76 Typical High $7.94 | Facility | QW · Waived lab test | $5.13 | $6.76 | $7.94 |
Fallon Health Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $8.51 | Professional | None | $5.75 | $7.24 | $8.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.09 Median $5.13 Typical High $21.38 | Professional | None | $2.09 | $5.13 | $21.38 |
Health New England Setting Facility Modifier None Typical Low $6.17 Median $7.08 Typical High $33.11 | Facility | None | $6.17 | $7.08 | $33.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.89 Median $5.62 Typical High $16.60 | Facility | None | $3.89 | $5.62 | $16.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $5.13 Typical High $12.88 | Professional | None | $2.09 | $5.13 | $12.88 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $4.57 Median $5.13 Typical High $12.59 | Professional | QW · Waived lab test | $4.57 | $5.13 | $12.59 |
Tufts Setting Facility Modifier None Typical Low $4.57 Median $5.89 Typical High $11.75 | Facility | None | $4.57 | $5.89 | $11.75 |
Tufts Setting Professional Modifier None Typical Low $4.57 Median $5.37 Typical High $8.32 | Professional | None | $4.57 | $5.37 | $8.32 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $12.02 | Facility | None | $5.13 | $5.13 | $12.02 |
United Setting Professional Modifier None Typical Low $2.04 Median $3.09 Typical High $10.96 | Professional | None | $2.04 | $3.09 | $10.96 |
Well Sense Setting Facility Modifier None Typical Low $4.57 Median $5.75 Typical High $8.91 | Facility | None | $4.57 | $5.75 | $8.91 |
Well Sense Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $6.46 | Professional | None | $5.37 | $5.37 | $6.46 |
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 $2.45 Median $2.45 Typical High $2.95 | Professional | 52 · Reduced service | $2.45 | $2.45 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $1.17 | Professional | 53 · Discontinued | $0.98 | $0.98 | $1.17 |
Where Massachusetts sits
The same service costs 8.1 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· 18th of 51
$6.17
VT $31.62MD $3.89
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.