How much rates vary
Facilitymedian $4 · 10th to 90th $3 to $219Professionalmedian $3 · 10th to 90th $2 to $8
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 $2.82 Median $4.27 Typical High $12.59 | Facility | None | $2.82 | $4.27 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.82 Typical High $4.17 | Professional | None | $2.69 | $2.82 | $4.17 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.24 Median $3.31 Typical High $125.89 | Facility | None | $2.24 | $3.31 | $125.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1.78 Median $3.02 Typical High $7.59 | Professional | None | $1.78 | $3.02 | $7.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $245.47 | Facility | None | $123.03 | $151.36 | $245.47 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $3.80 | Professional | None | $2.82 | $2.95 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $4.27 Typical High $7.76 | Facility | None | $2.04 | $4.27 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $3.72 Typical High $11.48 | Professional | None | $2.00 | $3.72 | $11.48 |
Fallon Health Setting Facility Modifier None Typical Low $4.27 Median $5.13 Typical High $4,897.79 | Facility | None | $4.27 | $5.13 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | None | $4.27 | $4.27 | $5.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.51 Median $3.02 Typical High $245.47 | Professional | None | $1.51 | $3.02 | $245.47 |
Health New England Setting Facility Modifier None Typical Low $3.72 Median $6.92 Typical High $229.09 | Facility | None | $3.72 | $6.92 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.24 Median $3.31 Typical High $125.89 | Facility | None | $2.24 | $3.31 | $125.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $1.78 Median $3.02 Typical High $7.59 | Professional | None | $1.78 | $3.02 | $7.59 |
Tufts Setting Facility Modifier None Typical Low $2.63 Median $4.79 Typical High $257.04 | Facility | None | $2.63 | $4.79 | $257.04 |
Tufts Setting Professional Modifier None Typical Low $2.63 Median $3.09 Typical High $4.79 | Professional | None | $2.63 | $3.09 | $4.79 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $1.20 Median $2.29 Typical High $6.31 | Professional | None | $1.20 | $2.29 | $6.31 |
Well Sense Setting Facility Modifier None Typical Low $2.63 Median $3.31 Typical High $5.25 | Facility | None | $2.63 | $3.31 | $5.25 |
Well Sense Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.72 | Professional | None | $3.09 | $3.09 | $3.72 |
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 $1.41 Median $1.41 Typical High $1.70 | Professional | 52 · Reduced service | $1.41 | $1.41 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.56 Typical High $0.68 | Professional | 53 · Discontinued | $0.56 | $0.56 | $0.68 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3.02 Median $3.89 Typical High $4.68 | Facility | QW · Waived lab test | $3.02 | $3.89 | $4.68 |
Where Massachusetts sits
The same service costs 47.9 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· 25th of 51
$3.55
VT $107MD $2.24
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.