How much rates vary
Facilitymedian $21 · 10th to 90th $13 to $51Professionalmedian $14 · 10th to 90th $9 to $39
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 $13.80 Median $20.89 Typical High $61.66 | Facility | None | $13.80 | $20.89 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $20.42 | Professional | None | $13.18 | $13.80 | $20.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $46.77 | Facility | None | $10.96 | $16.22 | $46.77 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $37.15 | Professional | None | $8.71 | $14.45 | $37.15 |
BCBS Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $57.54 | Facility | None | $28.84 | $40.74 | $57.54 |
BCBS Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $18.62 | Professional | None | $13.80 | $14.45 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $20.89 Typical High $38.02 | Facility | None | $9.55 | $20.89 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $17.78 Typical High $57.54 | Professional | None | $10.00 | $17.78 | $57.54 |
Fallon Health Setting Facility Modifier None Typical Low $20.89 Median $24.55 Typical High $4,897.79 | Facility | None | $20.89 | $24.55 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.24 Median $14.45 Typical High $56.23 | Professional | None | $7.24 | $14.45 | $56.23 |
Health New England Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $63.10 | Facility | None | $17.38 | $21.88 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $46.77 | Facility | None | $10.96 | $16.22 | $46.77 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $37.15 | Professional | None | $8.71 | $14.45 | $37.15 |
Tufts Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $32.36 | Facility | None | $12.88 | $18.62 | $32.36 |
Tufts Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $23.44 | Professional | None | $12.88 | $15.14 | $23.44 |
United Setting Facility Modifier None Typical Low $5.13 Median $14.45 Typical High $14.45 | Facility | None | $5.13 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $5.89 Median $9.33 Typical High $30.90 | Professional | None | $5.89 | $9.33 | $30.90 |
Well Sense Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $25.70 | Facility | None | $12.88 | $16.22 | $25.70 |
Well Sense Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
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 $6.92 Median $6.92 Typical High $8.32 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.31 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $19.05 Typical High $22.39 | Facility | QW · Waived lab test | $14.45 | $19.05 | $22.39 |
Where Massachusetts sits
The same service costs 8.1 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· 20th of 51
$16.60
VT $89.13MD $10.96
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.