How much rates vary
Facilitymedian $27 · 10th to 90th $17 to $71Professionalmedian $19 · 10th to 90th $9 to $50
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 $18.20 Median $36.31 Typical High $81.28 | Facility | None | $18.20 | $36.31 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | None | $18.20 | $18.20 | $26.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $60.26 | Facility | None | $14.13 | $20.89 | $60.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.33 Median $19.05 Typical High $47.86 | Professional | None | $9.33 | $19.05 | $47.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $81.28 | Facility | None | $26.92 | $46.77 | $81.28 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $23.99 | Professional | None | $17.78 | $18.62 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $26.92 Typical High $48.98 | Facility | None | $12.59 | $26.92 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $22.91 Typical High $74.13 | Professional | None | $13.18 | $22.91 | $74.13 |
Fallon Health Setting Facility Modifier None Typical Low $26.30 Median $32.36 Typical High $4,897.79 | Facility | None | $26.30 | $32.36 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $32.36 | Professional | None | $27.54 | $27.54 | $32.36 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.33 Median $19.05 Typical High $74.13 | Professional | None | $9.33 | $19.05 | $74.13 |
Health New England Setting Facility Modifier None Typical Low $22.39 Median $41.69 Typical High $275.42 | Facility | None | $22.39 | $41.69 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.13 Median $20.89 Typical High $60.26 | Facility | None | $14.13 | $20.89 | $60.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.33 Median $19.05 Typical High $47.86 | Professional | None | $9.33 | $19.05 | $47.86 |
Tufts Setting Facility Modifier None Typical Low $16.60 Median $22.91 Typical High $37.15 | Facility | None | $16.60 | $22.91 | $37.15 |
Tufts Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $30.20 | Professional | None | $16.60 | $19.50 | $30.20 |
United Setting Facility Modifier None Typical Low $16.98 Median $19.05 Typical High $22.91 | Facility | None | $16.98 | $19.05 | $22.91 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $39.81 | Professional | None | $7.59 | $11.48 | $39.81 |
Well Sense Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $33.11 | Facility | None | $16.60 | $20.89 | $33.11 |
Well Sense Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
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 $9.12 Median $9.12 Typical High $10.72 | Professional | 52 · Reduced service | $9.12 | $9.12 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $4.37 | Professional | 53 · Discontinued | $3.63 | $3.63 | $4.37 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $19.05 Median $24.55 Typical High $29.51 | Facility | QW · Waived lab test | $19.05 | $24.55 | $29.51 |
Where Massachusetts sits
The same service costs 5.0 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· 23rd of 51
$22.39
VT $70.79MD $14.13
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.