How much rates vary
Facilitymedian $50 · 10th to 90th $32 to $120Professionalmedian $42 · 10th to 90th $21 to $309
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 $24.55 Median $50.12 Typical High $109.65 | Facility | None | $24.55 | $50.12 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $81.28 | Professional | None | $24.55 | $26.30 | $81.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $107.15 | Facility | None | $32.36 | $48.98 | $107.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $74.13 Typical High $309.03 | Professional | None | $20.89 | $74.13 | $309.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $36.31 Median $85.11 Typical High $123.03 | Facility | None | $36.31 | $85.11 | $123.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $60.26 Typical High $134.90 | Facility | None | $28.18 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $38.02 Typical High $134.90 | Professional | None | $20.89 | $38.02 | $134.90 |
Fallon Health Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $346.74 | Facility | None | $38.90 | $50.12 | $346.74 |
Fallon Health Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $61.66 | Professional | None | $39.81 | $48.98 | $61.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $95.50 | Professional | None | $20.89 | $35.48 | $95.50 |
Health New England Setting Facility Modifier None Typical Low $43.65 Median $75.86 Typical High $165.96 | Facility | None | $43.65 | $75.86 | $165.96 |
Health New England Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $77.62 | Professional | None | $35.48 | $35.48 | $77.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $107.15 | Facility | None | $32.36 | $48.98 | $107.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $74.13 Typical High $309.03 | Professional | None | $20.89 | $74.13 | $309.03 |
Tufts Setting Facility Modifier None Typical Low $28.18 Median $37.15 Typical High $66.07 | Facility | None | $28.18 | $37.15 | $66.07 |
Tufts Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $56.23 | Professional | None | $38.90 | $38.90 | $56.23 |
United Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $41.69 | Facility | None | $31.62 | $35.48 | $41.69 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $67.61 | Professional | None | $14.13 | $20.89 | $67.61 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $63.10 | Facility | None | $30.90 | $42.66 | $63.10 |
Well Sense Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
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 $12.30 Median $12.30 Typical High $58.88 | Professional | 52 · Reduced service | $12.30 | $12.30 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $23.44 | Professional | 53 · Discontinued | $5.01 | $5.01 | $23.44 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $72.44 Typical High $93.33 | Professional | QW · Waived lab test | $35.48 | $72.44 | $93.33 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $35.48 Median $45.71 Typical High $54.95 | Facility | QW · Waived lab test | $35.48 | $45.71 | $54.95 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $72.44 Typical High $93.33 | Professional | QW · Waived lab test | $35.48 | $72.44 | $93.33 |
Where Massachusetts sits
The same service costs 4.3 times more in Minnesota 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· 20th of 51
$45.71
MN $112MD $26.30
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.