How much rates vary
Facilitymedian $16 · 10th to 90th $10 to $42Professionalmedian $12 · 10th to 90th $7 to $30
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 $10.96 Median $19.95 Typical High $48.98 | Facility | None | $10.96 | $19.95 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | None | $10.96 | $10.96 | $15.85 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.71 Median $12.59 Typical High $36.31 | Facility | None | $8.71 | $12.59 | $36.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $30.20 | Professional | None | $6.92 | $11.48 | $30.20 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $10.23 Median $11.48 Typical High $28.18 | Professional | QW · Waived lab test | $10.23 | $11.48 | $28.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $22.91 Median $32.36 Typical High $45.71 | Facility | None | $22.91 | $32.36 | $45.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $14.79 | Professional | None | $10.96 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $16.60 Typical High $30.20 | Facility | None | $7.59 | $16.60 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $44.67 | Professional | None | $8.51 | $13.80 | $44.67 |
Fallon Health Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $83.18 | Facility | None | $12.88 | $16.22 | $83.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.48 Median $15.14 Typical High $17.78 | Facility | QW · Waived lab test | $11.48 | $15.14 | $17.78 |
Fallon Health Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $19.50 | Professional | None | $12.88 | $16.60 | $19.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $47.86 | Professional | None | $5.75 | $11.48 | $47.86 |
Health New England Setting Facility Modifier None Typical Low $14.79 Median $30.90 Typical High $107.15 | Facility | None | $14.79 | $30.90 | $107.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.71 Median $12.59 Typical High $36.31 | Facility | None | $8.71 | $12.59 | $36.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $30.20 | Professional | None | $6.92 | $11.48 | $30.20 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $10.23 Median $11.48 Typical High $28.18 | Professional | QW · Waived lab test | $10.23 | $11.48 | $28.18 |
Tufts Setting Facility Modifier None Typical Low $10.23 Median $12.88 Typical High $19.05 | Facility | None | $10.23 | $12.88 | $19.05 |
Tufts Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $18.62 | Professional | None | $10.23 | $11.75 | $18.62 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.48 Typical High $13.80 | Facility | None | $10.47 | $11.48 | $13.80 |
United Setting Professional Modifier None Typical Low $4.57 Median $9.55 Typical High $44.67 | Professional | None | $4.57 | $9.55 | $44.67 |
Well Sense Setting Facility Modifier None Typical Low $10.23 Median $12.59 Typical High $19.95 | Facility | None | $10.23 | $12.59 | $19.95 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
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 $5.50 Median $5.50 Typical High $6.46 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.63 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.63 |
Where Massachusetts sits
The same service costs 5.2 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· 17th of 51
$13.80
MN $45.71MD $8.71
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.