How much rates vary
Facilitymedian $24 · 10th to 90th $15 to $60Professionalmedian $17 · 10th to 90th $8 to $46
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 $16.22 Median $32.36 Typical High $72.44 | Facility | None | $16.22 | $32.36 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $29.51 | Professional | None | $15.14 | $16.22 | $29.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.59 Median $18.62 Typical High $53.70 | Facility | None | $12.59 | $18.62 | $53.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.32 Median $16.98 Typical High $42.66 | Professional | None | $8.32 | $16.98 | $42.66 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.99 Median $41.69 Typical High $72.44 | Facility | None | $23.99 | $41.69 | $72.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $21.88 | Professional | None | $15.85 | $16.60 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $23.99 Typical High $43.65 | Facility | None | $11.75 | $23.99 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $20.42 Typical High $66.07 | Professional | None | $11.48 | $20.42 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $28.84 Typical High $4,897.79 | Facility | None | $24.55 | $28.84 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | None | $24.55 | $24.55 | $28.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.32 Median $16.98 Typical High $66.07 | Professional | None | $8.32 | $16.98 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $19.50 Median $22.39 Typical High $112.20 | Facility | None | $19.50 | $22.39 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.59 Median $18.62 Typical High $53.70 | Facility | None | $12.59 | $18.62 | $53.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.32 Median $16.98 Typical High $42.66 | Professional | None | $8.32 | $16.98 | $42.66 |
Tufts Setting Facility Modifier None Typical Low $14.79 Median $21.38 Typical High $38.90 | Facility | None | $14.79 | $21.38 | $38.90 |
Tufts Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $26.92 | Professional | None | $14.79 | $17.38 | $26.92 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.42 | Facility | None | $15.14 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.23 Typical High $35.48 | Professional | None | $6.76 | $10.23 | $35.48 |
Well Sense Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $29.51 | Facility | None | $14.79 | $18.62 | $29.51 |
Well Sense Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
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 $8.13 Median $8.13 Typical High $9.55 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.89 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $21.88 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $21.88 | $26.30 |
Where Massachusetts sits
The same service costs 8.5 times more in Vermont than in Rhode Island. 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
$19.95
VT $107RI $12.59
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.