How much rates vary
Facilitymedian $22 · 10th to 90th $12 to $49Professionalmedian $17 · 10th to 90th $10 to $42
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 $29.51 Typical High $51.29 | Facility | None | $10.96 | $29.51 | $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 $12.30 Median $17.78 Typical High $48.98 | Facility | None | $12.30 | $17.78 | $48.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.55 Median $15.85 Typical High $43.65 | Professional | None | $9.55 | $15.85 | $43.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.85 Median $33.88 Typical High $48.98 | Facility | None | $15.85 | $33.88 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | None | $14.79 | $14.79 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $20.42 Typical High $35.48 | Facility | None | $10.96 | $20.42 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $19.50 Typical High $64.57 | Professional | None | $9.12 | $19.50 | $64.57 |
Fallon Health Setting Facility Modifier None Typical Low $18.62 Median $23.44 Typical High $83.18 | Facility | None | $18.62 | $23.44 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $28.18 | Professional | None | $18.62 | $23.99 | $28.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.13 Median $16.98 Typical High $57.54 | Professional | None | $8.13 | $16.98 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $48.98 | Facility | None | $12.30 | $17.78 | $48.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.55 Median $15.85 Typical High $43.65 | Professional | None | $9.55 | $15.85 | $43.65 |
Tufts Setting Facility Modifier None Typical Low $11.75 Median $20.42 Typical High $27.54 | Facility | None | $11.75 | $20.42 | $27.54 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $19.95 | Facility | None | $15.14 | $16.98 | $19.95 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $35.48 | Professional | None | $6.76 | $10.00 | $35.48 |
Well Sense Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $29.51 | Facility | None | $12.02 | $18.62 | $29.51 |
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 |
5 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 $6.46 | Professional | 52 · Reduced service | $5.50 | $5.50 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.63 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.63 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $14.45 Median $17.78 Typical High $41.69 | Professional | QW · Waived lab test | $14.45 | $17.78 | $41.69 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $16.98 Median $21.88 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $21.88 | $26.30 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $14.45 Median $17.78 Typical High $41.69 | Professional | QW · Waived lab test | $14.45 | $17.78 | $41.69 |
Where Massachusetts sits
The same service costs 3.6 times more in Alaska 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· 20th of 51
$18.20
AK $38.02AL $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.