How much rates vary
Facilitymedian $23 · 10th to 90th $13 to $56Professionalmedian $16 · 10th to 90th $10 to $43
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 $12.02 Median $23.99 Typical High $398.11 | Facility | None | $12.02 | $23.99 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $53.70 | Facility | None | $12.88 | $23.99 | $53.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $44.67 | Professional | None | $10.47 | $17.38 | $44.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $17.38 Median $21.38 Typical High $43.65 | Facility | None | $17.38 | $21.38 | $43.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $28.18 | Facility | None | $11.22 | $12.30 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $67.61 | Professional | None | $10.23 | $10.47 | $67.61 |
Fallon Health Setting Facility Modifier None Typical Low $25.12 Median $29.51 Typical High $5,888.44 | Facility | None | $25.12 | $29.51 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $29.51 | Professional | None | $25.12 | $25.12 | $29.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.32 Median $17.38 Typical High $50.12 | Professional | None | $8.32 | $17.38 | $50.12 |
Health New England Setting Facility Modifier None Typical Low $21.38 Median $81.28 Typical High $158.49 | Facility | None | $21.38 | $81.28 | $158.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $53.70 | Facility | None | $12.88 | $23.99 | $53.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.47 Median $17.38 Typical High $44.67 | Professional | None | $10.47 | $17.38 | $44.67 |
Tufts Setting Facility Modifier None Typical Low $13.49 Median $18.20 Typical High $30.20 | Facility | None | $13.49 | $18.20 | $30.20 |
Tufts Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $27.54 | Professional | None | $12.88 | $15.14 | $27.54 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $20.89 | Facility | None | $15.49 | $17.38 | $20.89 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $36.31 | Professional | None | $6.92 | $10.47 | $36.31 |
Well Sense Setting Facility Modifier None Typical Low $15.14 Median $19.05 Typical High $30.20 | Facility | None | $15.14 | $19.05 | $30.20 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $6.03 Median $6.03 Typical High $6.46 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.57 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.57 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $17.38 Median $22.39 Typical High $26.92 | Facility | QW · Waived lab test | $17.38 | $22.39 | $26.92 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in New Jersey. 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
$17.38
AK $47.86NJ $12.02
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.