How much rates vary
Facilitymedian $15 · 10th to 90th $10 to $38Professionalmedian $11 · 10th to 90th $6 to $29
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 $10.23 Median $20.42 Typical High $45.71 | Facility | None | $10.23 | $20.42 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $14.79 | Professional | None | $10.23 | $10.23 | $14.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $33.88 | Facility | None | $8.13 | $11.75 | $33.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.46 Median $10.72 Typical High $26.92 | Professional | None | $6.46 | $10.72 | $26.92 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.14 Median $26.30 Typical High $45.71 | Facility | None | $15.14 | $26.30 | $45.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.00 Median $10.47 Typical High $13.80 | Professional | None | $10.00 | $10.47 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $27.54 | Facility | None | $7.08 | $15.49 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.18 Typical High $41.69 | Professional | None | $7.41 | $13.18 | $41.69 |
Fallon Health Setting Facility Modifier None Typical Low $12.30 Median $18.20 Typical High $4,897.79 | Facility | None | $12.30 | $18.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.37 Median $10.72 Typical High $41.69 | Professional | None | $5.37 | $10.72 | $41.69 |
Health New England Setting Facility Modifier None Typical Low $13.18 Median $16.22 Typical High $100.00 | Facility | None | $13.18 | $16.22 | $100.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $33.88 | Facility | None | $8.13 | $11.75 | $33.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.46 Median $10.72 Typical High $26.92 | Professional | None | $6.46 | $10.72 | $26.92 |
Tufts Setting Facility Modifier None Typical Low $10.96 Median $15.14 Typical High $25.12 | Facility | None | $10.96 | $15.14 | $25.12 |
Tufts Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $17.38 | Professional | None | $9.55 | $10.96 | $17.38 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $30.20 | Facility | None | $10.72 | $10.72 | $30.20 |
United Setting Professional Modifier None Typical Low $4.27 Median $8.32 Typical High $22.91 | Professional | None | $4.27 | $8.32 | $22.91 |
Well Sense Setting Facility Modifier None Typical Low $9.55 Median $11.75 Typical High $18.62 | Facility | None | $9.55 | $11.75 | $18.62 |
Well Sense Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $13.49 | Professional | None | $11.22 | $11.22 | $13.49 |
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 $5.13 Median $5.13 Typical High $6.17 | Professional | 52 · Reduced service | $5.13 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.45 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.45 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $10.72 Median $13.80 Typical High $16.60 | Facility | QW · Waived lab test | $10.72 | $13.80 | $16.60 |
Where Massachusetts sits
The same service costs 13.8 times more in Vermont than in Utah. 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· 17th of 51
$12.59
VT $115UT $8.32
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.