How much rates vary
Facilitymedian $30 · 10th to 90th $18 to $74Professionalmedian $21 · 10th to 90th $13 to $56
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 $19.95 Median $36.31 Typical High $93.33 | Facility | None | $19.95 | $36.31 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.95 Typical High $28.84 | Professional | None | $19.50 | $19.95 | $28.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $66.07 | Facility | None | $15.49 | $22.91 | $66.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $52.48 | Professional | None | $12.59 | $20.89 | $52.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $28.84 Median $51.29 Typical High $87.10 | Facility | None | $28.84 | $51.29 | $87.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $26.92 | Professional | None | $19.50 | $20.42 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $53.70 | Facility | None | $13.80 | $29.51 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $81.28 | Professional | None | $14.13 | $25.12 | $81.28 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $4,897.79 | Facility | None | $29.51 | $34.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | None | $29.51 | $29.51 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.47 Median $20.89 Typical High $81.28 | Professional | None | $10.47 | $20.89 | $81.28 |
Health New England Setting Facility Modifier None Typical Low $26.30 Median $48.98 Typical High $147.91 | Facility | None | $26.30 | $48.98 | $147.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $66.07 | Facility | None | $15.49 | $22.91 | $66.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.59 Median $20.89 Typical High $52.48 | Professional | None | $12.59 | $20.89 | $52.48 |
Tufts Setting Facility Modifier None Typical Low $18.20 Median $25.12 Typical High $40.74 | Facility | None | $18.20 | $25.12 | $40.74 |
Tufts Setting Professional Modifier None Typical Low $18.20 Median $21.38 Typical High $33.11 | Professional | None | $18.20 | $21.38 | $33.11 |
United Setting Facility Modifier None Typical Low $18.62 Median $20.89 Typical High $25.12 | Facility | None | $18.62 | $20.89 | $25.12 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $43.65 | Professional | None | $8.32 | $14.79 | $43.65 |
Well Sense Setting Facility Modifier None Typical Low $18.20 Median $22.91 Typical High $36.31 | Facility | None | $18.20 | $22.91 | $36.31 |
Well Sense Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | None | $21.88 | $21.88 | $26.30 |
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 $10.00 Median $10.00 Typical High $11.75 | Professional | 52 · Reduced service | $10.00 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.89 Median $26.92 Typical High $32.36 | Facility | QW · Waived lab test | $20.89 | $26.92 | $32.36 |
Where Massachusetts sits
The same service costs 5.6 times more in Vermont 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· 22nd of 51
$23.99
VT $85.11AL $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.