How much rates vary
Facilitymedian $12 · 10th to 90th $8 to $35Professionalmedian $9 · 10th to 90th $5 to $23
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 $8.13 Median $15.14 Typical High $36.31 | Facility | None | $8.13 | $15.14 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.13 Typical High $15.14 | Professional | None | $7.59 | $8.13 | $15.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6.46 Median $9.55 Typical High $27.54 | Facility | None | $6.46 | $9.55 | $27.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $21.88 | Professional | None | $5.13 | $8.71 | $21.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.48 Median $21.38 Typical High $34.67 | Facility | None | $11.48 | $21.38 | $34.67 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $10.96 | Professional | None | $8.13 | $8.51 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.30 Typical High $22.91 | Facility | None | $6.03 | $12.30 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.23 Typical High $33.11 | Professional | None | $6.03 | $10.23 | $33.11 |
Fallon Health Setting Facility Modifier None Typical Low $12.30 Median $14.45 Typical High $4,897.79 | Facility | None | $12.30 | $14.45 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | None | $12.30 | $12.30 | $14.45 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.27 Median $8.71 Typical High $33.11 | Professional | None | $4.27 | $8.71 | $33.11 |
Health New England Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $75.86 | Facility | None | $10.72 | $17.38 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $6.46 Median $9.55 Typical High $27.54 | Facility | None | $6.46 | $9.55 | $27.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $21.88 | Professional | None | $5.13 | $8.71 | $21.88 |
Tufts Setting Facility Modifier None Typical Low $7.59 Median $9.77 Typical High $14.79 | Facility | None | $7.59 | $9.77 | $14.79 |
Tufts Setting Professional Modifier None Typical Low $7.59 Median $8.91 Typical High $13.80 | Professional | None | $7.59 | $8.91 | $13.80 |
United Setting Facility Modifier None Typical Low $2.95 Median $8.71 Typical High $36.31 | Facility | None | $2.95 | $8.71 | $36.31 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.25 Typical High $18.20 | Professional | None | $3.47 | $5.25 | $18.20 |
Well Sense Setting Facility Modifier None Typical Low $7.59 Median $9.55 Typical High $15.14 | Facility | None | $7.59 | $9.55 | $15.14 |
Well Sense Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $10.72 | Professional | None | $8.91 | $8.91 | $10.72 |
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 $4.07 Median $4.07 Typical High $4.90 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $8.71 Median $11.22 Typical High $13.49 | Facility | QW · Waived lab test | $8.71 | $11.22 | $13.49 |
Where Massachusetts sits
The same service costs 10.2 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
$10.00
VT $66.07MD $6.46
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.