How much rates vary
Facilitymedian $6 · 10th to 90th $4 to $16Professionalmedian $5 · 10th to 90th $2 to $12
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 $4.37 Median $12.30 Typical High $20.42 | Facility | None | $4.37 | $12.30 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.37 Typical High $5.37 | Professional | None | $4.17 | $4.37 | $5.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.47 Median $5.01 Typical High $14.79 | Facility | None | $3.47 | $5.01 | $14.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.09 Median $4.57 Typical High $11.75 | Professional | None | $2.09 | $4.57 | $11.75 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $4.07 Median $4.57 Typical High $11.22 | Professional | QW · Waived lab test | $4.07 | $4.57 | $11.22 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.61 Median $11.48 Typical High $19.95 | Facility | None | $6.61 | $11.48 | $19.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.47 Median $5.89 Typical High $5.89 | Professional | None | $4.47 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.61 Typical High $12.02 | Facility | None | $3.02 | $6.61 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $5.75 Typical High $17.78 | Professional | None | $3.16 | $5.75 | $17.78 |
Fallon Health Setting Facility Modifier None Typical Low $5.01 Median $6.46 Typical High $56.23 | Facility | None | $5.01 | $6.46 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4.57 Median $6.03 Typical High $7.08 | Facility | QW · Waived lab test | $4.57 | $6.03 | $7.08 |
Fallon Health Setting Professional Modifier None Typical Low $5.13 Median $6.61 Typical High $7.94 | Professional | None | $5.13 | $6.61 | $7.94 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.09 Median $4.57 Typical High $19.05 | Professional | None | $2.09 | $4.57 | $19.05 |
Health New England Setting Facility Modifier None Typical Low $4.17 Median $6.03 Typical High $27.54 | Facility | None | $4.17 | $6.03 | $27.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.47 Median $5.01 Typical High $14.79 | Facility | None | $3.47 | $5.01 | $14.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.09 Median $4.57 Typical High $11.75 | Professional | None | $2.09 | $4.57 | $11.75 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $4.07 Median $4.57 Typical High $11.22 | Professional | QW · Waived lab test | $4.07 | $4.57 | $11.22 |
Tufts Setting Facility Modifier None Typical Low $5.01 Median $5.62 Typical High $6.61 | Facility | None | $5.01 | $5.62 | $6.61 |
Tufts Setting Professional Modifier None Typical Low $4.07 Median $4.68 Typical High $7.41 | Professional | None | $4.07 | $4.68 | $7.41 |
United Setting Facility Modifier None Typical Low $4.17 Median $4.57 Typical High $5.50 | Facility | None | $4.17 | $4.57 | $5.50 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.75 Typical High $9.77 | Professional | None | $1.82 | $2.75 | $9.77 |
Well Sense Setting Facility Modifier None Typical Low $4.07 Median $5.13 Typical High $7.94 | Facility | None | $4.07 | $5.13 | $7.94 |
Well Sense Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $5.75 | Professional | None | $4.79 | $4.79 | $5.75 |
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 $2.19 Median $2.19 Typical High $2.63 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $1.05 | Professional | 53 · Discontinued | $0.87 | $0.87 | $1.05 |
Where Massachusetts sits
The same service costs 4.4 times more in Minnesota 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· 14th of 51
$5.50
MN $15.14MD $3.47
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.