How much rates vary
Facilitymedian $18 · 10th to 90th $11 to $46Professionalmedian $13 · 10th to 90th $6 to $34
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 $12.30 Median $22.39 Typical High $54.95 | Facility | None | $12.30 | $22.39 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.30 Typical High $22.39 | Professional | None | $12.02 | $12.30 | $22.39 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.55 Median $14.13 Typical High $40.74 | Facility | None | $9.55 | $14.13 | $40.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.25 Median $12.88 Typical High $32.36 | Professional | None | $5.25 | $12.88 | $32.36 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.20 Median $31.62 Typical High $54.95 | Facility | None | $18.20 | $31.62 | $54.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $16.60 | Professional | None | $12.02 | $12.59 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $18.62 Typical High $33.11 | Facility | None | $8.91 | $18.62 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $50.12 | Professional | None | $8.71 | $15.85 | $50.12 |
Fallon Health Setting Facility Modifier None Typical Low $18.62 Median $21.88 Typical High $4,897.79 | Facility | None | $18.62 | $21.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $12.88 Typical High $50.12 | Professional | None | $5.25 | $12.88 | $50.12 |
Health New England Setting Facility Modifier None Typical Low $15.49 Median $30.20 Typical High $169.82 | Facility | None | $15.49 | $30.20 | $169.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.55 Median $14.13 Typical High $40.74 | Facility | None | $9.55 | $14.13 | $40.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.25 Median $12.88 Typical High $32.36 | Professional | None | $5.25 | $12.88 | $32.36 |
Tufts Setting Facility Modifier None Typical Low $11.48 Median $15.49 Typical High $25.12 | Facility | None | $11.48 | $15.49 | $25.12 |
Tufts Setting Professional Modifier None Typical Low $11.48 Median $13.18 Typical High $20.42 | Professional | None | $11.48 | $13.18 | $20.42 |
United Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $15.49 | Facility | None | $11.48 | $12.88 | $15.49 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.76 Typical High $26.92 | Professional | None | $5.13 | $7.76 | $26.92 |
Well Sense Setting Facility Modifier None Typical Low $11.48 Median $14.13 Typical High $22.39 | Facility | None | $11.48 | $14.13 | $22.39 |
Well Sense Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
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 $6.17 Median $6.17 Typical High $7.41 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.88 Median $16.60 Typical High $19.95 | Facility | QW · Waived lab test | $12.88 | $16.60 | $19.95 |
Where Massachusetts sits
The same service costs 13.5 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· 19th of 51
$15.14
VT $129MD $9.55
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.