How much rates vary
Facilitymedian $13 · 10th to 90th $8 to $33Professionalmedian $9 · 10th to 90th $6 to $25
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 $7.08 Median $16.22 Typical High $31.62 | Facility | None | $7.08 | $16.22 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $15.49 | Professional | None | $7.08 | $7.08 | $15.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.92 Median $10.00 Typical High $27.54 | Facility | None | $6.92 | $10.00 | $27.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $23.44 | Professional | None | $5.62 | $9.33 | $23.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $9.77 Median $22.91 Typical High $33.11 | Facility | None | $9.77 | $22.91 | $33.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $9.55 | Professional | None | $8.71 | $9.12 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $13.18 Typical High $23.99 | Facility | None | $6.46 | $13.18 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $11.22 Typical High $35.48 | Professional | None | $6.46 | $11.22 | $35.48 |
Fallon Health Setting Facility Modifier None Typical Low $9.55 Median $15.85 Typical High $4,897.79 | Facility | None | $9.55 | $15.85 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | None | $13.49 | $13.49 | $15.85 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.68 Median $9.33 Typical High $35.48 | Professional | None | $4.68 | $9.33 | $35.48 |
Health New England Setting Facility Modifier None Typical Low $10.96 Median $28.84 Typical High $117.49 | Facility | None | $10.96 | $28.84 | $117.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.92 Median $10.00 Typical High $27.54 | Facility | None | $6.92 | $10.00 | $27.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.62 Median $9.33 Typical High $23.44 | Professional | None | $5.62 | $9.33 | $23.44 |
Tufts Setting Facility Modifier None Typical Low $7.59 Median $9.77 Typical High $15.85 | Facility | None | $7.59 | $9.77 | $15.85 |
Tufts Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $14.79 | Professional | None | $7.59 | $8.13 | $14.79 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $12.02 | Facility | None | $9.33 | $9.33 | $12.02 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $19.50 | Professional | None | $3.72 | $6.17 | $19.50 |
Well Sense Setting Facility Modifier None Typical Low $7.76 Median $10.23 Typical High $16.22 | Facility | None | $7.76 | $10.23 | $16.22 |
Well Sense Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $9.33 | Professional | None | $7.76 | $7.76 | $9.33 |
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 $3.55 Median $3.55 Typical High $5.25 | Professional | 52 · Reduced service | $3.55 | $3.55 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $2.14 | Professional | 53 · Discontinued | $1.41 | $1.41 | $2.14 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $9.33 Median $12.02 Typical High $14.45 | Facility | QW · Waived lab test | $9.33 | $12.02 | $14.45 |
Where Massachusetts sits
The same service costs 12.9 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· 24th of 51
$9.77
VT $89.13MD $6.92
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.