How much rates vary
Facilitymedian $14 · 10th to 90th $9 to $34Professionalmedian $10 · 10th to 90th $5 to $26
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 $6.76 Median $8.71 Typical High $20.42 | Facility | None | $6.76 | $8.71 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $11.22 | Professional | None | $8.71 | $8.71 | $11.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.94 Median $11.48 Typical High $32.36 | Facility | None | $7.94 | $11.48 | $32.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.17 Median $10.47 Typical High $26.30 | Professional | None | $4.17 | $10.47 | $26.30 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $9.33 Median $10.47 Typical High $25.70 | Professional | QW · Waived lab test | $9.33 | $10.47 | $25.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.02 Median $23.44 Typical High $36.31 | Facility | None | $12.02 | $23.44 | $36.31 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $11.75 | Professional | None | $9.77 | $10.23 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $14.45 Typical High $24.55 | Facility | None | $6.92 | $14.45 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $40.74 | Professional | None | $6.46 | $12.88 | $40.74 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $14.79 Typical High $72.44 | Facility | None | $11.48 | $14.79 | $72.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $10.47 Median $13.80 Typical High $16.22 | Facility | QW · Waived lab test | $10.47 | $13.80 | $16.22 |
Fallon Health Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $17.38 | Professional | None | $11.48 | $14.79 | $17.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.17 Median $10.47 Typical High $40.74 | Professional | None | $4.17 | $10.47 | $40.74 |
Health New England Setting Facility Modifier None Typical Low $11.22 Median $38.02 Typical High $63.10 | Facility | None | $11.22 | $38.02 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.94 Median $11.48 Typical High $32.36 | Facility | None | $7.94 | $11.48 | $32.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.17 Median $10.47 Typical High $26.30 | Professional | None | $4.17 | $10.47 | $26.30 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $9.33 Median $10.47 Typical High $25.70 | Professional | QW · Waived lab test | $9.33 | $10.47 | $25.70 |
Tufts Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $23.44 | Facility | None | $9.33 | $12.59 | $23.44 |
Tufts Setting Professional Modifier None Typical Low $9.33 Median $9.55 Typical High $16.98 | Professional | None | $9.33 | $9.55 | $16.98 |
United Setting Facility Modifier None Typical Low $9.33 Median $10.47 Typical High $12.59 | Facility | None | $9.33 | $10.47 | $12.59 |
United Setting Professional Modifier None Typical Low $2.09 Median $6.31 Typical High $21.88 | Professional | None | $2.09 | $6.31 | $21.88 |
Well Sense Setting Facility Modifier None Typical Low $9.33 Median $11.48 Typical High $18.20 | Facility | None | $9.33 | $11.48 | $18.20 |
Well Sense Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.48 | Professional | None | $9.55 | $9.55 | $11.48 |
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 $4.37 Median $4.37 Typical High $5.25 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.09 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.09 |
Where Massachusetts sits
The same service costs 5.6 times more in Minnesota 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· 17th of 51
$12.02
MN $41.69NJ $7.41
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.