How much rates vary
Facilitymedian $30 · 10th to 90th $19 to $81Professionalmedian $21 · 10th to 90th $13 to $59
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 $19.95 Median $39.81 Typical High $89.13 | Facility | None | $19.95 | $39.81 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $28.84 | Professional | None | $19.95 | $19.95 | $28.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $66.07 | Facility | None | $15.49 | $22.91 | $66.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $53.70 | Professional | None | $12.59 | $20.89 | $53.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $89.13 | Facility | None | $29.51 | $51.29 | $89.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $26.92 | Professional | None | $19.50 | $20.42 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $29.51 Typical High $53.70 | Facility | None | $14.45 | $29.51 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $81.28 | Professional | None | $14.13 | $25.70 | $81.28 |
Fallon Health Setting Facility Modifier None Typical Low $28.18 Median $34.67 Typical High $4,897.79 | Facility | None | $28.18 | $34.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.47 Median $20.89 Typical High $81.28 | Professional | None | $10.47 | $20.89 | $81.28 |
Health New England Setting Facility Modifier None Typical Low $25.12 Median $42.66 Typical High $234.42 | Facility | None | $25.12 | $42.66 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $66.07 | Facility | None | $15.49 | $22.91 | $66.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $53.70 | Professional | None | $12.59 | $20.89 | $53.70 |
Tufts Setting Facility Modifier None Typical Low $20.42 Median $23.99 Typical High $34.67 | Facility | None | $20.42 | $23.99 | $34.67 |
Tufts Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $33.11 | Professional | None | $18.20 | $21.38 | $33.11 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $112.20 | Facility | None | $20.89 | $20.89 | $112.20 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $81.28 | Professional | None | $8.32 | $12.59 | $81.28 |
Well Sense Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $36.31 | Facility | None | $18.20 | $22.91 | $36.31 |
Well Sense Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
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 $10.00 Median $10.00 Typical High $12.02 | Professional | 52 · Reduced service | $10.00 | $10.00 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.89 Median $26.92 Typical High $32.36 | Facility | QW · Waived lab test | $20.89 | $26.92 | $32.36 |
Where Massachusetts sits
The same service costs 7.9 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
$24.55
VT $123MD $15.49
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.