How much rates vary
Facilitymedian $20 · 10th to 90th $13 to $50Professionalmedian $14 · 10th to 90th $7 to $38
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 $13.80 Median $25.12 Typical High $61.66 | Facility | None | $13.80 | $25.12 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $19.95 | Professional | None | $13.80 | $13.80 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $45.71 | Facility | None | $10.72 | $15.85 | $45.71 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $36.31 | Professional | None | $5.75 | $14.45 | $36.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20.42 Median $35.48 Typical High $61.66 | Facility | None | $20.42 | $35.48 | $61.66 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $18.62 | Professional | None | $13.49 | $14.13 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $20.42 Typical High $37.15 | Facility | None | $10.00 | $20.42 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $17.38 Typical High $56.23 | Professional | None | $10.00 | $17.38 | $56.23 |
Fallon Health Setting Facility Modifier None Typical Low $16.98 Median $23.99 Typical High $4,897.79 | Facility | None | $16.98 | $23.99 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $56.23 | Professional | None | $5.75 | $14.45 | $56.23 |
Health New England Setting Facility Modifier None Typical Low $16.98 Median $21.38 Typical High $93.33 | Facility | None | $16.98 | $21.38 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $45.71 | Facility | None | $10.72 | $15.85 | $45.71 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.75 Median $14.45 Typical High $36.31 | Professional | None | $5.75 | $14.45 | $36.31 |
Tufts Setting Facility Modifier None Typical Low $12.59 Median $16.22 Typical High $32.36 | Facility | None | $12.59 | $16.22 | $32.36 |
Tufts Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $22.91 | Professional | None | $12.59 | $14.79 | $22.91 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.45 Typical High $17.38 | Facility | None | $12.88 | $14.45 | $17.38 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $30.20 | Professional | None | $5.25 | $8.71 | $30.20 |
Well Sense Setting Facility Modifier None Typical Low $12.59 Median $15.85 Typical High $25.12 | Facility | None | $12.59 | $15.85 | $25.12 |
Well Sense Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
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 $6.92 Median $6.92 Typical High $8.13 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.31 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.31 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $14.45 Median $18.62 Typical High $22.39 | Facility | QW · Waived lab test | $14.45 | $18.62 | $22.39 |
Where Massachusetts sits
The same service costs 8.3 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· 20th of 51
$16.60
VT $89.13MD $10.72
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.