How much rates vary
Facilitymedian $17 · 10th to 90th $9 to $40Professionalmedian $11 · 10th to 90th $7 to $28
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 $8.13 Median $16.22 Typical High $36.31 | Facility | None | $8.13 | $16.22 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $12.59 | Professional | None | $8.13 | $8.13 | $12.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $36.31 | Facility | None | $8.71 | $15.85 | $36.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $30.20 | Professional | None | $6.92 | $11.48 | $30.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.14 Median $21.38 Typical High $30.20 | Facility | None | $15.14 | $21.38 | $30.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $9.12 Typical High $18.62 | Facility | None | $7.94 | $9.12 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $44.67 | Professional | None | $6.92 | $6.92 | $44.67 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $19.50 Typical High $5,888.44 | Facility | None | $16.60 | $19.50 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | None | $16.60 | $16.60 | $19.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.50 Median $11.48 Typical High $33.11 | Professional | None | $5.50 | $11.48 | $33.11 |
Health New England Setting Facility Modifier None Typical Low $14.45 Median $63.10 Typical High $234.42 | Facility | None | $14.45 | $63.10 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $36.31 | Facility | None | $8.71 | $15.85 | $36.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.92 Median $11.48 Typical High $30.20 | Professional | None | $6.92 | $11.48 | $30.20 |
Tufts Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $19.95 | Facility | None | $8.91 | $12.88 | $19.95 |
Tufts Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $18.62 | Professional | None | $8.51 | $10.23 | $18.62 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.48 Typical High $13.80 | Facility | None | $10.47 | $11.48 | $13.80 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.92 Typical High $23.99 | Professional | None | $4.57 | $6.92 | $23.99 |
Well Sense Setting Facility Modifier None Typical Low $10.23 Median $12.59 Typical High $19.95 | Facility | None | $10.23 | $12.59 | $19.95 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $4.07 Median $4.07 Typical High $4.27 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.70 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.70 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.48 Median $15.14 Typical High $17.78 | Facility | QW · Waived lab test | $11.48 | $15.14 | $17.78 |
Where Massachusetts sits
The same service costs 24.0 times more in Vermont than in New Jersey. 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
$12.02
VT $195NJ $8.13
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.