How much rates vary
Facilitymedian $12 · 10th to 90th $8 to $30Professionalmedian $9 · 10th to 90th $4 to $23
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 $8.32 Median $16.60 Typical High $37.15 | Facility | None | $8.32 | $16.60 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $15.14 | Professional | None | $7.94 | $8.32 | $15.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.61 Median $9.55 Typical High $27.54 | Facility | None | $6.61 | $9.55 | $27.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $21.88 | Professional | None | $3.47 | $8.71 | $21.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $38.02 | Facility | None | $12.59 | $21.38 | $38.02 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $10.96 | Professional | None | $8.13 | $8.51 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.59 Typical High $22.91 | Facility | None | $6.03 | $12.59 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.72 Typical High $34.67 | Professional | None | $6.03 | $10.72 | $34.67 |
Fallon Health Setting Facility Modifier None Typical Low $10.00 Median $14.45 Typical High $4,897.79 | Facility | None | $10.00 | $14.45 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | None | $12.30 | $12.30 | $14.45 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $33.88 | Professional | None | $3.47 | $8.71 | $33.88 |
Health New England Setting Facility Modifier None Typical Low $10.23 Median $11.48 Typical High $23.99 | Facility | None | $10.23 | $11.48 | $23.99 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.61 Median $9.55 Typical High $27.54 | Facility | None | $6.61 | $9.55 | $27.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.47 Median $8.71 Typical High $21.88 | Professional | None | $3.47 | $8.71 | $21.88 |
Tufts Setting Facility Modifier None Typical Low $7.76 Median $10.00 Typical High $16.98 | Facility | None | $7.76 | $10.00 | $16.98 |
Tufts Setting Professional Modifier None Typical Low $7.76 Median $9.55 Typical High $14.13 | Professional | None | $7.76 | $9.55 | $14.13 |
United Setting Facility Modifier None Typical Low $2.29 Median $8.71 Typical High $19.50 | Facility | None | $2.29 | $8.71 | $19.50 |
United Setting Professional Modifier None Typical Low $2.09 Median $5.25 Typical High $18.62 | Professional | None | $2.09 | $5.25 | $18.62 |
Well Sense Setting Facility Modifier None Typical Low $7.76 Median $9.55 Typical High $15.14 | Facility | None | $7.76 | $9.55 | $15.14 |
Well Sense Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.96 | Professional | None | $9.12 | $9.12 | $10.96 |
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 $4.17 Median $4.17 Typical High $5.01 | Professional | 52 · Reduced service | $4.17 | $4.17 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $2.00 | Professional | 53 · Discontinued | $1.66 | $1.66 | $2.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.71 Median $11.48 Typical High $13.49 | Facility | QW · Waived lab test | $8.71 | $11.48 | $13.49 |
Where Massachusetts sits
The same service costs 7.6 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· 19th of 51
$10.00
MN $50.12MD $6.61
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.