How much rates vary
Facilitymedian $13 · 10th to 90th $8 to $32Professionalmedian $9 · 10th to 90th $5 to $25
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 $8.51 Median $15.85 Typical High $38.02 | Facility | None | $8.51 | $15.85 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $15.85 | Professional | None | $8.13 | $8.51 | $15.85 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.76 Median $10.00 Typical High $28.84 | Facility | None | $6.76 | $10.00 | $28.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.37 Median $9.12 Typical High $22.91 | Professional | None | $5.37 | $9.12 | $22.91 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.88 Median $22.39 Typical High $38.90 | Facility | None | $12.88 | $22.39 | $38.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.51 Median $8.91 Typical High $11.22 | Professional | None | $8.51 | $8.91 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.88 Typical High $23.99 | Facility | None | $6.31 | $12.88 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $11.22 Typical High $35.48 | Professional | None | $6.17 | $11.22 | $35.48 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $15.14 Typical High $4,897.79 | Facility | None | $10.96 | $15.14 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.47 Median $9.12 Typical High $34.67 | Professional | None | $4.47 | $9.12 | $34.67 |
Health New England Setting Facility Modifier None Typical Low $10.72 Median $12.30 Typical High $75.86 | Facility | None | $10.72 | $12.30 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.76 Median $10.00 Typical High $28.84 | Facility | None | $6.76 | $10.00 | $28.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.37 Median $9.12 Typical High $22.91 | Professional | None | $5.37 | $9.12 | $22.91 |
Tufts Setting Facility Modifier None Typical Low $7.94 Median $10.23 Typical High $17.78 | Facility | None | $7.94 | $10.23 | $17.78 |
Tufts Setting Professional Modifier None Typical Low $7.94 Median $9.77 Typical High $14.45 | Professional | None | $7.94 | $9.77 | $14.45 |
United Setting Facility Modifier None Typical Low $8.13 Median $9.12 Typical High $10.72 | Facility | None | $8.13 | $9.12 | $10.72 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.31 Typical High $19.05 | Professional | None | $3.63 | $6.31 | $19.05 |
Well Sense Setting Facility Modifier None Typical Low $7.94 Median $10.00 Typical High $15.85 | Facility | None | $7.94 | $10.00 | $15.85 |
Well Sense Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | None | $9.33 | $9.33 | $11.22 |
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 $4.27 Median $4.27 Typical High $5.13 | Professional | 52 · Reduced service | $4.27 | $4.27 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.04 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.04 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $9.12 Median $11.75 Typical High $14.13 | Facility | QW · Waived lab test | $9.12 | $11.75 | $14.13 |
Where Massachusetts sits
The same service costs 10.7 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· 19th of 51
$10.47
VT $74.13MD $6.92
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.