How much rates vary
Facilitymedian $20 · 10th to 90th $13 to $48Professionalmedian $14 · 10th to 90th $9 to $49
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 $10.96 Median $21.88 Typical High $51.29 | Facility | None | $10.96 | $21.88 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $23.44 | Professional | None | $10.96 | $10.96 | $23.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $42.66 | Facility | None | $10.72 | $15.49 | $42.66 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $41.69 | Professional | None | $8.71 | $14.45 | $41.69 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $12.59 Median $14.45 Typical High $34.67 | Professional | QW · Waived lab test | $12.59 | $14.45 | $34.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.85 Median $35.48 Typical High $50.12 | Facility | None | $15.85 | $35.48 | $50.12 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $14.79 | Professional | None | $13.49 | $14.13 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $37.15 | Facility | None | $9.33 | $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 $15.85 Median $20.42 Typical High $117.49 | Facility | None | $15.85 | $20.42 | $117.49 |
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 |
Fallon Health Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $23.99 | Professional | None | $15.85 | $20.42 | $23.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.24 Median $14.45 Typical High $58.88 | Professional | None | $7.24 | $14.45 | $58.88 |
Health New England Setting Facility Modifier None Typical Low $14.79 Median $54.95 Typical High $77.62 | Facility | None | $14.79 | $54.95 | $77.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.72 Median $15.49 Typical High $42.66 | Facility | None | $10.72 | $15.49 | $42.66 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $41.69 | Professional | None | $8.71 | $14.45 | $41.69 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $12.59 Median $14.45 Typical High $34.67 | Professional | QW · Waived lab test | $12.59 | $14.45 | $34.67 |
Tufts Setting Facility Modifier None Typical Low $12.59 Median $15.49 Typical High $23.44 | Facility | None | $12.59 | $15.49 | $23.44 |
Tufts Setting Professional Modifier None Typical Low $11.75 Median $12.59 Typical High $22.91 | Professional | None | $11.75 | $12.59 | $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 $5.75 Median $9.55 Typical High $50.12 | Professional | None | $5.75 | $9.55 | $50.12 |
Well Sense Setting Facility Modifier None Typical Low $12.02 Median $15.85 Typical High $25.12 | Facility | None | $12.02 | $15.85 | $25.12 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
2 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 $5.50 Median $5.50 Typical High $7.08 | Professional | 52 · Reduced service | $5.50 | $5.50 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.88 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.88 |
Where Massachusetts sits
The same service costs 18.6 times more in Vermont than in Alabama. 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· 18th of 51
$16.98
VT $195AL $10.47
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.