How much rates vary
Facilitymedian $3 · 10th to 90th $2 to $8Professionalmedian $2 · 10th to 90th $2 to $6
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 $2.24 Median $4.17 Typical High $39.81 | Facility | None | $2.24 | $4.17 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.47 | Professional | None | $2.24 | $2.24 | $3.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1.78 Median $2.63 Typical High $7.59 | Facility | None | $1.78 | $2.63 | $7.59 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1.51 Median $2.34 Typical High $6.03 | Professional | None | $1.51 | $2.34 | $6.03 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $2.09 Median $2.34 Typical High $5.75 | Professional | QW · Waived lab test | $2.09 | $2.34 | $5.75 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.31 Median $5.75 Typical High $10.00 | Facility | None | $3.31 | $5.75 | $10.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2.24 Median $2.29 Typical High $3.02 | Professional | None | $2.24 | $2.29 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $3.39 Typical High $6.17 | Facility | None | $1.55 | $3.39 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $2.82 Typical High $8.91 | Professional | None | $1.82 | $2.82 | $8.91 |
Fallon Health Setting Facility Modifier None Typical Low $2.63 Median $3.39 Typical High $56.23 | Facility | None | $2.63 | $3.39 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2.34 Median $3.09 Typical High $3.63 | Facility | QW · Waived lab test | $2.34 | $3.09 | $3.63 |
Fallon Health Setting Professional Modifier None Typical Low $2.63 Median $3.39 Typical High $3.98 | Professional | None | $2.63 | $3.39 | $3.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $10.00 | Professional | None | $1.41 | $2.34 | $10.00 |
Health New England Setting Facility Modifier None Typical Low $2.88 Median $3.31 Typical High $16.98 | Facility | None | $2.88 | $3.31 | $16.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $1.78 Median $2.63 Typical High $7.59 | Facility | None | $1.78 | $2.63 | $7.59 |
Mass General Brigham Setting Professional Modifier None Typical Low $1.51 Median $2.34 Typical High $6.03 | Professional | None | $1.51 | $2.34 | $6.03 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $2.09 Median $2.34 Typical High $5.75 | Professional | QW · Waived lab test | $2.09 | $2.34 | $5.75 |
Tufts Setting Facility Modifier None Typical Low $2.09 Median $2.63 Typical High $4.68 | Facility | None | $2.09 | $2.63 | $4.68 |
Tufts Setting Professional Modifier None Typical Low $2.09 Median $2.45 Typical High $3.80 | Professional | None | $2.09 | $2.45 | $3.80 |
United Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $7.59 | Facility | None | $2.34 | $2.34 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.34 Typical High $5.01 | Professional | None | $1.41 | $2.34 | $5.01 |
Well Sense Setting Facility Modifier None Typical Low $2.09 Median $2.63 Typical High $4.17 | Facility | None | $2.09 | $2.63 | $4.17 |
Well Sense Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | None | $2.45 | $2.45 | $2.95 |
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 $1.12 Median $1.12 Typical High $1.35 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.54 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.54 |
Where Massachusetts sits
The same service costs 17.0 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· 18th of 51
$2.88
VT $32.36MD $1.91
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.