How much rates vary
Facilitymedian $9 · 10th to 90th $5 to $22Professionalmedian $6 · 10th to 90th $3 to $16
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 $5.75 Median $11.48 Typical High $25.70 | Facility | None | $5.75 | $11.48 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $8.91 | Professional | None | $5.75 | $5.75 | $8.91 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.57 Median $6.61 Typical High $19.05 | Facility | None | $4.57 | $6.61 | $19.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.40 Median $6.03 Typical High $15.14 | Professional | None | $2.40 | $6.03 | $15.14 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $8.51 Median $15.14 Typical High $25.70 | Facility | None | $8.51 | $15.14 | $25.70 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.89 Median $7.76 Typical High $7.76 | Professional | None | $5.89 | $7.76 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.71 Typical High $15.49 | Facility | None | $3.98 | $8.71 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $7.41 Typical High $22.91 | Professional | None | $4.17 | $7.41 | $22.91 |
Fallon Health Setting Facility Modifier None Typical Low $8.71 Median $10.23 Typical High $4,897.79 | Facility | None | $8.71 | $10.23 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | None | $8.71 | $8.71 | $10.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.40 Median $6.03 Typical High $23.44 | Professional | None | $2.40 | $6.03 | $23.44 |
Health New England Setting Facility Modifier None Typical Low $7.08 Median $9.12 Typical High $57.54 | Facility | None | $7.08 | $9.12 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.57 Median $6.61 Typical High $19.05 | Facility | None | $4.57 | $6.61 | $19.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.40 Median $6.03 Typical High $15.14 | Professional | None | $2.40 | $6.03 | $15.14 |
Tufts Setting Facility Modifier None Typical Low $5.37 Median $6.92 Typical High $11.75 | Facility | None | $5.37 | $6.92 | $11.75 |
Tufts Setting Professional Modifier None Typical Low $5.37 Median $6.17 Typical High $9.55 | Professional | None | $5.37 | $6.17 | $9.55 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $15.14 | Facility | None | $6.03 | $6.03 | $15.14 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $12.88 | Professional | None | $2.09 | $3.63 | $12.88 |
Well Sense Setting Facility Modifier None Typical Low $5.37 Median $6.61 Typical High $10.47 | Facility | None | $5.37 | $6.61 | $10.47 |
Well Sense Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | None | $6.31 | $6.31 | $7.59 |
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 $2.88 Median $2.88 Typical High $3.47 | Professional | 52 · Reduced service | $2.88 | $2.88 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.15 Typical High $1.38 | Professional | 53 · Discontinued | $1.15 | $1.15 | $1.38 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $6.03 Median $7.76 Typical High $9.33 | Facility | QW · Waived lab test | $6.03 | $7.76 | $9.33 |
Where Massachusetts sits
The same service costs 6.2 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· 16th of 51
$7.24
VT $28.18MD $4.57
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.