How much rates vary
Facilitymedian $36 · 10th to 90th $19 to $83Professionalmedian $22 · 10th to 90th $11 to $63
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 $13.18 Median $37.15 Typical High $61.66 | Facility | None | $13.18 | $37.15 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $35.48 | Professional | None | $13.18 | $13.18 | $35.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $74.13 | Facility | None | $19.05 | $27.54 | $74.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.23 Median $22.39 Typical High $64.57 | Professional | None | $10.23 | $22.39 | $64.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.20 Median $61.66 Typical High $89.13 | Facility | None | $18.20 | $61.66 | $89.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $25.12 | Professional | None | $17.78 | $23.99 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $34.67 Typical High $66.07 | Facility | None | $16.60 | $34.67 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $30.90 Typical High $100.00 | Professional | None | $15.49 | $30.90 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $19.95 Median $42.66 Typical High $4,897.79 | Facility | None | $19.95 | $42.66 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.23 Median $25.70 Typical High $97.72 | Professional | None | $10.23 | $25.70 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $30.20 Median $64.57 Typical High $229.09 | Facility | None | $30.20 | $64.57 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.05 Median $27.54 Typical High $74.13 | Facility | None | $19.05 | $27.54 | $74.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.23 Median $22.39 Typical High $64.57 | Professional | None | $10.23 | $22.39 | $64.57 |
Tufts Setting Facility Modifier None Typical Low $14.79 Median $25.70 Typical High $40.74 | Facility | None | $14.79 | $25.70 | $40.74 |
Tufts Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $40.74 | Professional | None | $14.13 | $22.39 | $40.74 |
United Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $30.20 | Facility | None | $22.91 | $25.70 | $30.20 |
United Setting Professional Modifier None Typical Low $5.25 Median $15.14 Typical High $53.70 | Professional | None | $5.25 | $15.14 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $14.45 Median $28.18 Typical High $44.67 | Facility | None | $14.45 | $28.18 | $44.67 |
Well Sense Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | None | $14.45 | $14.45 | $17.38 |
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 $6.61 Median $6.61 Typical High $13.18 | Professional | 52 · Reduced service | $6.61 | $6.61 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $5.25 | Professional | 53 · Discontinued | $2.63 | $2.63 | $5.25 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $25.70 Median $33.11 Typical High $39.81 | Facility | QW · Waived lab test | $25.70 | $33.11 | $39.81 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Alabama. 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· 26th of 51
$25.70
AK $69.18AL $15.14
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.