How much rates vary
Facilitymedian $68 · 10th to 90th $39 to $151Professionalmedian $50 · 10th to 90th $26 to $631
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 $40.74 Median $81.28 Typical High $190.55 | Facility | None | $40.74 | $81.28 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $100.00 | Professional | None | $40.74 | $40.74 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $138.04 | Facility | None | $38.90 | $60.26 | $138.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $25.70 Median $91.20 Typical High $630.96 | Professional | None | $25.70 | $91.20 | $630.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $169.82 | Facility | None | $85.11 | $117.49 | $169.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None | $39.81 | $39.81 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $72.44 Typical High $165.96 | Facility | None | $34.67 | $72.44 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $47.86 Typical High $165.96 | Professional | None | $25.70 | $47.86 | $165.96 |
Fallon Health Setting Facility Modifier None Typical Low $61.66 Median $72.44 Typical High $5,888.44 | Facility | None | $61.66 | $72.44 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | None | $61.66 | $61.66 | $72.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $25.70 Median $42.66 Typical High $138.04 | Professional | None | $25.70 | $42.66 | $138.04 |
Health New England Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $512.86 | Facility | None | $50.12 | $77.62 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $38.90 Median $60.26 Typical High $138.04 | Facility | None | $38.90 | $60.26 | $138.04 |
Mass General Brigham Setting Professional Modifier None Typical Low $25.70 Median $91.20 Typical High $630.96 | Professional | None | $25.70 | $91.20 | $630.96 |
Tufts Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $95.50 | Facility | None | $38.02 | $51.29 | $95.50 |
Tufts Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
United Setting Facility Modifier None Typical Low $38.90 Median $42.66 Typical High $51.29 | Facility | None | $38.90 | $42.66 | $51.29 |
United Setting Professional Modifier None Typical Low $16.98 Median $25.70 Typical High $87.10 | Professional | None | $16.98 | $25.70 | $87.10 |
Well Sense Setting Facility Modifier None Typical Low $38.02 Median $52.48 Typical High $77.62 | Facility | None | $38.02 | $52.48 | $77.62 |
Well Sense Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | None | $44.67 | $44.67 | $53.70 |
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 $20.42 Median $20.42 Typical High $95.50 | Professional | 52 · Reduced service | $20.42 | $20.42 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.13 Typical High $38.02 | Professional | 53 · Discontinued | $8.13 | $8.13 | $38.02 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $42.66 Median $56.23 Typical High $66.07 | Facility | QW · Waived lab test | $42.66 | $56.23 | $66.07 |
Where Massachusetts sits
The same service costs 4.2 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· 15th of 51
$58.88
VT $135MD $32.36
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.