How much rates vary
Facilitymedian $14 · 10th to 90th $9 to $36Professionalmedian $10 · 10th to 90th $6 to $28
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 $9.77 Median $18.20 Typical High $43.65 | Facility | None | $9.77 | $18.20 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $18.20 | Professional | None | $9.33 | $9.77 | $18.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.76 Median $11.48 Typical High $33.11 | Facility | None | $7.76 | $11.48 | $33.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.17 Median $10.23 Typical High $26.30 | Professional | None | $6.17 | $10.23 | $26.30 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $14.13 Median $25.12 Typical High $43.65 | Facility | None | $14.13 | $25.12 | $43.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.77 Median $10.00 Typical High $13.18 | Professional | None | $9.77 | $10.00 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $14.79 Typical High $26.92 | Facility | None | $6.76 | $14.79 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $12.30 Typical High $40.74 | Professional | None | $7.08 | $12.30 | $40.74 |
Fallon Health Setting Facility Modifier None Typical Low $14.79 Median $17.38 Typical High $4,897.79 | Facility | None | $14.79 | $17.38 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | None | $14.79 | $14.79 | $17.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $39.81 | Professional | None | $5.13 | $10.23 | $39.81 |
Health New England Setting Facility Modifier None Typical Low $12.02 Median $14.13 Typical High $74.13 | Facility | None | $12.02 | $14.13 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.76 Median $11.48 Typical High $33.11 | Facility | None | $7.76 | $11.48 | $33.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.17 Median $10.23 Typical High $26.30 | Professional | None | $6.17 | $10.23 | $26.30 |
Tufts Setting Facility Modifier None Typical Low $9.12 Median $11.48 Typical High $20.42 | Facility | None | $9.12 | $11.48 | $20.42 |
Tufts Setting Professional Modifier None Typical Low $9.12 Median $10.72 Typical High $16.60 | Professional | None | $9.12 | $10.72 | $16.60 |
United Setting Facility Modifier None Typical Low $9.33 Median $10.23 Typical High $12.30 | Facility | None | $9.33 | $10.23 | $12.30 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.31 Typical High $21.88 | Professional | None | $4.17 | $6.31 | $21.88 |
Well Sense Setting Facility Modifier None Typical Low $9.12 Median $11.48 Typical High $18.20 | Facility | None | $9.12 | $11.48 | $18.20 |
Well Sense Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | None | $10.72 | $10.72 | $12.88 |
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 $4.90 Median $4.90 Typical High $5.89 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.34 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.34 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $10.23 Median $13.49 Typical High $15.85 | Facility | QW · Waived lab test | $10.23 | $13.49 | $15.85 |
Where Massachusetts sits
The same service costs 12.6 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· 23rd of 51
$11.75
VT $97.72MD $7.76
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.