How much rates vary
Facilitymedian $33 · 10th to 90th $19 to $74Professionalmedian $26 · 10th to 90th $15 to $65
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 $18.62 Median $37.15 Typical High $83.18 | Facility | None | $18.62 | $37.15 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.05 Median $26.92 Typical High $74.13 | Facility | None | $19.05 | $26.92 | $74.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.49 Median $25.70 Typical High $64.57 | Professional | None | $15.49 | $25.70 | $64.57 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $22.39 Median $25.70 Typical High $61.66 | Professional | QW · Waived lab test | $22.39 | $25.70 | $61.66 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $81.28 | Facility | None | $40.74 | $57.54 | $81.28 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $25.12 | Professional | None | $23.99 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $30.90 Typical High $53.70 | Facility | None | $16.98 | $30.90 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $29.51 Typical High $100.00 | Professional | None | $15.14 | $29.51 | $100.00 |
Fallon Health Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $91.20 | Facility | None | $28.18 | $35.48 | $91.20 |
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 |
Fallon Health Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $43.65 | Professional | None | $28.18 | $37.15 | $43.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.88 Median $25.70 Typical High $89.13 | Professional | None | $12.88 | $25.70 | $89.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.05 Median $26.92 Typical High $74.13 | Facility | None | $19.05 | $26.92 | $74.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.49 Median $25.70 Typical High $64.57 | Professional | None | $15.49 | $25.70 | $64.57 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $22.39 Median $25.70 Typical High $61.66 | Professional | QW · Waived lab test | $22.39 | $25.70 | $61.66 |
United Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $30.90 | Facility | None | $22.91 | $25.70 | $30.90 |
United Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $53.70 | Professional | None | $10.23 | $16.60 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $20.42 Median $28.18 Typical High $44.67 | Facility | None | $20.42 | $28.18 | $44.67 |
Well Sense Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | None | $20.42 | $20.42 | $24.55 |
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 $9.33 Median $9.33 Typical High $11.22 | Professional | 52 · Reduced service | $9.33 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.47 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.47 |
Where Massachusetts sits
The same service costs 3.8 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· 16th of 51
$28.18
AK $57.54AL $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.