How much rates vary
Facilitymedian $26 · 10th to 90th $16 to $65Professionalmedian $18 · 10th to 90th $11 to $49
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 $17.38 Median $32.36 Typical High $77.62 | Facility | None | $17.38 | $32.36 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $32.36 | Professional | None | $16.60 | $17.38 | $32.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $58.88 | Facility | None | $13.80 | $20.42 | $58.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $46.77 | Professional | None | $10.96 | $18.20 | $46.77 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $79.43 | Facility | None | $26.30 | $44.67 | $79.43 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $22.91 | Professional | None | $17.38 | $18.20 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $26.30 Typical High $47.86 | Facility | None | $12.59 | $26.30 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $22.39 Typical High $70.79 | Professional | None | $12.59 | $22.39 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $26.30 Median $30.90 Typical High $4,897.79 | Facility | None | $26.30 | $30.90 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | None | $26.30 | $26.30 | $30.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.12 Median $18.20 Typical High $70.79 | Professional | None | $9.12 | $18.20 | $70.79 |
Health New England Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $141.25 | Facility | None | $22.91 | $34.67 | $141.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $58.88 | Facility | None | $13.80 | $20.42 | $58.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $46.77 | Professional | None | $10.96 | $18.20 | $46.77 |
Tufts Setting Facility Modifier None Typical Low $16.22 Median $20.42 Typical High $40.74 | Facility | None | $16.22 | $20.42 | $40.74 |
Tufts Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $29.51 | Professional | None | $16.22 | $19.05 | $29.51 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $21.88 | Facility | None | $16.60 | $18.20 | $21.88 |
United Setting Professional Modifier None Typical Low $7.41 Median $14.13 Typical High $38.90 | Professional | None | $7.41 | $14.13 | $38.90 |
Well Sense Setting Facility Modifier None Typical Low $16.22 Median $20.42 Typical High $32.36 | Facility | None | $16.22 | $20.42 | $32.36 |
Well Sense Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | None | $19.05 | $19.05 | $22.91 |
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 $8.71 Median $8.71 Typical High $9.55 | Professional | 52 · Reduced service | $8.71 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.80 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.80 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $18.20 Median $23.99 Typical High $28.18 | Facility | QW · Waived lab test | $18.20 | $23.99 | $28.18 |
Where Massachusetts sits
The same service costs 7.1 times more in Vermont than in Illinois. 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· 21st of 51
$20.89
VT $100IL $14.13
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.