How much rates vary
Facilitymedian $40 · 10th to 90th $25 to $100Professionalmedian $28 · 10th to 90th $17 to $74
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 $26.30 Median $53.70 Typical High $117.49 | Facility | None | $26.30 | $53.70 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $40.74 | Professional | None | $26.30 | $26.92 | $40.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $89.13 | Facility | None | $20.89 | $30.90 | $89.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $72.44 | Professional | None | $16.60 | $28.18 | $72.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $120.23 | Facility | None | $39.81 | $69.18 | $120.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $35.48 | Professional | None | $26.30 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $39.81 Typical High $72.44 | Facility | None | $19.50 | $39.81 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $107.15 | Professional | None | $19.05 | $33.88 | $107.15 |
Fallon Health Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $4,897.79 | Facility | None | $39.81 | $46.77 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | None | $39.81 | $39.81 | $46.77 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $14.13 Median $28.18 Typical High $107.15 | Professional | None | $14.13 | $28.18 | $107.15 |
Health New England Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $239.88 | Facility | None | $32.36 | $37.15 | $239.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $89.13 | Facility | None | $20.89 | $30.90 | $89.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $72.44 | Professional | None | $16.60 | $28.18 | $72.44 |
Tufts Setting Facility Modifier None Typical Low $24.55 Median $33.88 Typical High $54.95 | Facility | None | $24.55 | $33.88 | $54.95 |
Tufts Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $44.67 | Professional | None | $24.55 | $28.84 | $44.67 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $89.13 | Facility | None | $28.18 | $28.18 | $89.13 |
United Setting Professional Modifier None Typical Low $11.22 Median $23.44 Typical High $107.15 | Professional | None | $11.22 | $23.44 | $107.15 |
Well Sense Setting Facility Modifier None Typical Low $24.55 Median $30.90 Typical High $48.98 | Facility | None | $24.55 | $30.90 | $48.98 |
Well Sense Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
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 $13.18 Median $13.18 Typical High $15.85 | Professional | 52 · Reduced service | $13.18 | $13.18 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $5.37 | $6.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $28.18 Median $36.31 Typical High $43.65 | Facility | QW · Waived lab test | $28.18 | $36.31 | $43.65 |
Where Massachusetts sits
The same service costs 7.8 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· 20th of 51
$33.11
VT $145AL $18.62
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.