How much rates vary
Facilitymedian $50 · 10th to 90th $31 to $117Professionalmedian $35 · 10th to 90th $21 to $174
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 $24.55 Typical High $39.81 | Professional | None | $24.55 | $24.55 | $39.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $32.36 Median $47.86 Typical High $102.33 | Facility | None | $32.36 | $47.86 | $102.33 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $67.61 Typical High $173.78 | Professional | None | $20.89 | $67.61 | $173.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $30.20 Median $85.11 Typical High $123.03 | Facility | None | $30.20 | $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 $27.54 Median $51.29 Typical High $74.13 | Facility | None | $27.54 | $51.29 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $134.90 | Professional | None | $20.89 | $42.66 | $134.90 |
Fallon Health Setting Facility Modifier None Typical Low $37.15 Median $58.88 Typical High $5,888.44 | Facility | None | $37.15 | $58.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None | $50.12 | $50.12 | $58.88 |
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 $40.74 Median $56.23 Typical High $165.96 | Facility | None | $40.74 | $56.23 | $165.96 |
Health New England Setting Professional Modifier None Typical Low $35.48 Median $77.62 Typical High $77.62 | Professional | None | $35.48 | $77.62 | $77.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $32.36 Median $47.86 Typical High $102.33 | Facility | None | $32.36 | $47.86 | $102.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $67.61 Typical High $173.78 | Professional | None | $20.89 | $67.61 | $173.78 |
Tufts Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $63.10 | Facility | None | $28.18 | $38.90 | $63.10 |
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 $26.30 Median $26.30 Typical High $31.62 | Professional | None | $26.30 | $26.30 | $31.62 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.01 |
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 |
Where Massachusetts sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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
$38.90
VT $87.10NJ $25.12
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.