How much rates vary
Facilitymedian $23 · 10th to 90th $15 to $56Professionalmedian $17 · 10th to 90th $9 to $45
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 $13.49 Median $27.54 Typical High $60.26 | Facility | None | $13.49 | $27.54 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $28.84 | Professional | None | $13.49 | $13.49 | $28.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $51.29 | Facility | None | $12.88 | $18.62 | $51.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $42.66 | Professional | None | $6.76 | $16.98 | $42.66 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $16.98 Typical High $41.69 | Professional | QW · Waived lab test | $15.14 | $16.98 | $41.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $60.26 | Facility | None | $18.62 | $41.69 | $60.26 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $17.78 | Professional | None | $15.85 | $16.60 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $24.55 Typical High $43.65 | Facility | None | $11.22 | $24.55 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $20.42 Typical High $66.07 | Professional | None | $11.75 | $20.42 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $23.99 Typical High $81.28 | Facility | None | $17.38 | $23.99 | $81.28 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $22.39 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $22.39 | $26.30 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $28.84 | Professional | None | $18.62 | $24.55 | $28.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $69.18 | Professional | None | $6.76 | $16.98 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $19.50 Median $33.11 Typical High $123.03 | Facility | None | $19.50 | $33.11 | $123.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $51.29 | Facility | None | $12.88 | $18.62 | $51.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $42.66 | Professional | None | $6.76 | $16.98 | $42.66 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $15.14 Median $16.98 Typical High $41.69 | Professional | QW · Waived lab test | $15.14 | $16.98 | $41.69 |
Tufts Setting Facility Modifier None Typical Low $14.79 Median $18.20 Typical High $28.84 | Facility | None | $14.79 | $18.20 | $28.84 |
Tufts Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $27.54 | Professional | None | $14.45 | $15.14 | $27.54 |
United Setting Facility Modifier None Typical Low $15.49 Median $16.98 Typical High $20.42 | Facility | None | $15.49 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $5.25 Median $10.23 Typical High $35.48 | Professional | None | $5.25 | $10.23 | $35.48 |
Well Sense Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $29.51 | Facility | None | $14.79 | $18.62 | $29.51 |
Well Sense Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.78 | Professional | None | $14.79 | $14.79 | $17.78 |
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 $6.76 Median $6.76 Typical High $8.71 | Professional | 52 · Reduced service | $6.76 | $6.76 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.47 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.47 |
Where Massachusetts sits
The same service costs 8.1 times more in Vermont than in Indiana. 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
$19.50
VT $105IN $12.88
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.