How much rates vary
Facilitymedian $17 · 10th to 90th $10 to $42Professionalmedian $12 · 10th to 90th $7 to $32
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 $11.22 Median $22.39 Typical High $50.12 | Facility | None | $11.22 | $22.39 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $16.22 | Professional | None | $10.96 | $11.22 | $16.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $37.15 | Facility | None | $8.91 | $12.88 | $37.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $29.51 | Professional | None | $7.08 | $11.75 | $29.51 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.22 Median $28.84 Typical High $48.98 | Facility | None | $16.22 | $28.84 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $15.14 | Professional | None | $10.96 | $11.48 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $30.20 | Facility | None | $7.76 | $16.98 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $14.45 Typical High $45.71 | Professional | None | $8.13 | $14.45 | $45.71 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $19.50 Typical High $4,897.79 | Facility | None | $16.60 | $19.50 | $4,897.79 |
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 $5.89 Median $11.75 Typical High $45.71 | Professional | None | $5.89 | $11.75 | $45.71 |
Health New England Setting Facility Modifier None Typical Low $13.49 Median $15.49 Typical High $72.44 | Facility | None | $13.49 | $15.49 | $72.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.91 Median $12.88 Typical High $37.15 | Facility | None | $8.91 | $12.88 | $37.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $29.51 | Professional | None | $7.08 | $11.75 | $29.51 |
Tufts Setting Facility Modifier None Typical Low $10.47 Median $12.88 Typical High $19.05 | Facility | None | $10.47 | $12.88 | $19.05 |
Tufts Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $18.62 | Professional | None | $10.47 | $12.02 | $18.62 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $14.13 | Facility | None | $10.47 | $11.75 | $14.13 |
United Setting Professional Modifier None Typical Low $4.68 Median $9.12 Typical High $25.12 | Professional | None | $4.68 | $9.12 | $25.12 |
Well Sense Setting Facility Modifier None Typical Low $10.47 Median $12.88 Typical High $20.42 | Facility | None | $10.47 | $12.88 | $20.42 |
Well Sense Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | None | $12.30 | $12.30 | $14.79 |
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 $5.62 Median $5.62 Typical High $6.76 | Professional | 52 · Reduced service | $5.62 | $5.62 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.69 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.75 Median $15.14 Typical High $18.20 | Facility | QW · Waived lab test | $11.75 | $15.14 | $18.20 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 25th of 51
$12.88
AK $39.81MD $8.91
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.