How much rates vary
Facilitymedian $16 · 10th to 90th $10 to $40Professionalmedian $11 · 10th to 90th $7 to $30
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 $10.72 Median $21.38 Typical High $47.86 | Facility | None | $10.72 | $21.38 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.72 Typical High $19.50 | Professional | None | $10.47 | $10.72 | $19.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.51 Median $12.30 Typical High $35.48 | Facility | None | $8.51 | $12.30 | $35.48 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $28.18 | Professional | None | $6.76 | $11.22 | $28.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.49 Median $28.18 Typical High $46.77 | Facility | None | $15.49 | $28.18 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $10.47 Median $10.96 Typical High $14.45 | Professional | None | $10.47 | $10.96 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $16.22 Typical High $28.84 | Facility | None | $7.41 | $16.22 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $13.49 Typical High $43.65 | Professional | None | $7.76 | $13.49 | $43.65 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $19.05 Typical High $4,897.79 | Facility | None | $16.22 | $19.05 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.05 | Professional | None | $16.22 | $16.22 | $19.05 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.62 Median $11.22 Typical High $43.65 | Professional | None | $5.62 | $11.22 | $43.65 |
Health New England Setting Facility Modifier None Typical Low $14.13 Median $14.79 Typical High $64.57 | Facility | None | $14.13 | $14.79 | $64.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.51 Median $12.30 Typical High $35.48 | Facility | None | $8.51 | $12.30 | $35.48 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $28.18 | Professional | None | $6.76 | $11.22 | $28.18 |
Tufts Setting Facility Modifier None Typical Low $10.00 Median $12.88 Typical High $18.62 | Facility | None | $10.00 | $12.88 | $18.62 |
Tufts Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $18.20 | Professional | None | $10.00 | $11.75 | $18.20 |
United Setting Facility Modifier None Typical Low $10.23 Median $11.22 Typical High $13.49 | Facility | None | $10.23 | $11.22 | $13.49 |
United Setting Professional Modifier None Typical Low $4.47 Median $8.71 Typical High $23.99 | Professional | None | $4.47 | $8.71 | $23.99 |
Well Sense Setting Facility Modifier None Typical Low $10.00 Median $12.30 Typical High $19.50 | Facility | None | $10.00 | $12.30 | $19.50 |
Well Sense Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
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 $5.37 Median $5.37 Typical High $6.46 | Professional | 52 · Reduced service | $5.37 | $5.37 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.57 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.57 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $11.22 Median $14.79 Typical High $17.38 | Facility | QW · Waived lab test | $11.22 | $14.79 | $17.38 |
Where Massachusetts sits
The same service costs 11.7 times more in Vermont 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· 22nd of 51
$12.88
VT $100MD $8.51
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.