How much rates vary
Facilitymedian $7 · 10th to 90th $5 to $19Professionalmedian $5 · 10th to 90th $3 to $13
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 $5.01 Median $7.59 Typical High $47.86 | Facility | None | $5.01 | $7.59 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.01 Typical High $7.41 | Professional | None | $4.79 | $5.01 | $7.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.98 Median $5.89 Typical High $16.98 | Facility | None | $3.98 | $5.89 | $16.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.14 Median $5.25 Typical High $13.49 | Professional | None | $2.14 | $5.25 | $13.49 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $4.68 Median $5.25 Typical High $12.88 | Professional | QW · Waived lab test | $4.68 | $5.25 | $12.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.41 Median $12.88 Typical High $22.39 | Facility | None | $7.41 | $12.88 | $22.39 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $6.61 | Professional | None | $5.25 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $7.59 Typical High $13.80 | Facility | None | $3.47 | $7.59 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $5.89 Typical High $20.42 | Professional | None | $3.80 | $5.89 | $20.42 |
Fallon Health Setting Facility Modifier None Typical Low $5.89 Median $7.59 Typical High $56.23 | Facility | None | $5.89 | $7.59 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5.25 Median $6.92 Typical High $8.13 | Facility | QW · Waived lab test | $5.25 | $6.92 | $8.13 |
Fallon Health Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $8.91 | Professional | None | $5.89 | $7.59 | $8.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.14 Median $5.25 Typical High $21.88 | Professional | None | $2.14 | $5.25 | $21.88 |
Health New England Setting Facility Modifier None Typical Low $6.46 Median $10.72 Typical High $57.54 | Facility | None | $6.46 | $10.72 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.98 Median $5.89 Typical High $16.98 | Facility | None | $3.98 | $5.89 | $16.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.14 Median $5.25 Typical High $13.49 | Professional | None | $2.14 | $5.25 | $13.49 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $4.68 Median $5.25 Typical High $12.88 | Professional | QW · Waived lab test | $4.68 | $5.25 | $12.88 |
Tufts Setting Facility Modifier None Typical Low $4.68 Median $6.03 Typical High $12.02 | Facility | None | $4.68 | $6.03 | $12.02 |
Tufts Setting Professional Modifier None Typical Low $4.68 Median $5.50 Typical High $8.51 | Professional | None | $4.68 | $5.50 | $8.51 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $12.02 | Facility | None | $5.25 | $5.25 | $12.02 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.16 Typical High $11.22 | Professional | None | $2.09 | $3.16 | $11.22 |
Well Sense Setting Facility Modifier None Typical Low $4.68 Median $5.89 Typical High $9.33 | Facility | None | $4.68 | $5.89 | $9.33 |
Well Sense Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | None | $5.50 | $5.50 | $6.61 |
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 $2.51 Median $2.51 Typical High $3.02 | Professional | 52 · Reduced service | $2.51 | $2.51 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.20 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.20 |
Where Massachusetts sits
The same service costs 9.3 times more in Minnesota 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· 18th of 51
$6.31
MN $37.15MD $3.98
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.