How much rates vary
Facilitymedian $5 · 10th to 90th $4 to $13Professionalmedian $4 · 10th to 90th $3 to $10
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 $3.72 Median $7.59 Typical High $17.78 | Facility | None | $3.72 | $7.59 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.72 Typical High $6.76 | Professional | None | $3.55 | $3.72 | $6.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.95 Median $4.37 Typical High $12.59 | Facility | None | $2.95 | $4.37 | $12.59 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.51 Median $3.89 Typical High $10.00 | Professional | None | $2.51 | $3.89 | $10.00 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $3.47 Median $3.89 Typical High $9.55 | Professional | QW · Waived lab test | $3.47 | $3.89 | $9.55 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.62 Median $9.33 Typical High $16.98 | Facility | None | $5.62 | $9.33 | $16.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $4.90 | Professional | None | $3.89 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $5.62 Typical High $10.23 | Facility | None | $2.57 | $5.62 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $2.88 Median $4.90 Typical High $15.14 | Professional | None | $2.88 | $4.90 | $15.14 |
Fallon Health Setting Facility Modifier None Typical Low $4.37 Median $5.75 Typical High $56.23 | Facility | None | $4.37 | $5.75 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.89 Median $5.13 Typical High $6.03 | Facility | QW · Waived lab test | $3.89 | $5.13 | $6.03 |
Fallon Health Setting Professional Modifier None Typical Low $4.37 Median $5.75 Typical High $6.76 | Professional | None | $4.37 | $5.75 | $6.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $16.60 | Professional | None | $2.34 | $3.89 | $16.60 |
Health New England Setting Facility Modifier None Typical Low $4.57 Median $6.76 Typical High $45.71 | Facility | None | $4.57 | $6.76 | $45.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.95 Median $4.37 Typical High $12.59 | Facility | None | $2.95 | $4.37 | $12.59 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.51 Median $3.89 Typical High $10.00 | Professional | None | $2.51 | $3.89 | $10.00 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $3.47 Median $3.89 Typical High $9.55 | Professional | QW · Waived lab test | $3.47 | $3.89 | $9.55 |
Tufts Setting Facility Modifier None Typical Low $3.47 Median $4.47 Typical High $7.76 | Facility | None | $3.47 | $4.47 | $7.76 |
Tufts Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $6.31 | Professional | None | $3.47 | $4.07 | $6.31 |
United Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $10.47 | Facility | None | $3.89 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $8.32 | Professional | None | $2.34 | $3.89 | $8.32 |
Well Sense Setting Facility Modifier None Typical Low $3.47 Median $4.37 Typical High $6.92 | Facility | None | $3.47 | $4.37 | $6.92 |
Well Sense Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.90 | Professional | None | $4.07 | $4.07 | $4.90 |
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 $1.86 Median $1.86 Typical High $2.24 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.89 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.89 |
Where Massachusetts sits
The same service costs 12.6 times more in Vermont than in Washington, DC. 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· 18th of 51
$4.79
VT $39.81DC $3.16
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.