How much rates vary
Facilitymedian $71 · 10th to 90th $51 to $155Professionalmedian $58 · 10th to 90th $39 to $257
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 $51.29 Median $51.29 Typical High $109.65 | Facility | None | $51.29 | $51.29 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | None | $51.29 | $51.29 | $79.43 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $162.18 | Facility | None | $51.29 | $79.43 | $162.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $30.90 Median $77.62 Typical High $257.04 | Professional | None | $30.90 | $77.62 | $257.04 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $75.86 Typical High $134.90 | Professional | QW · Waived lab test | $51.29 | $75.86 | $134.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $128.82 | Facility | None | $51.29 | $72.44 | $128.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $97.72 | Professional | None | $43.65 | $70.79 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $91.20 | Facility | None | $83.18 | $83.18 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $52.48 Typical High $199.53 | Professional | None | $32.36 | $52.48 | $199.53 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $281.84 | Facility | None | $56.23 | $72.44 | $281.84 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $51.29 Median $66.07 Typical High $79.43 | Facility | QW · Waived lab test | $51.29 | $66.07 | $79.43 |
Fallon Health Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | None | $58.88 | $72.44 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $144.54 | Professional | None | $30.90 | $51.29 | $144.54 |
Health New England Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $173.78 | Facility | None | $51.29 | $77.62 | $173.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $162.18 | Facility | None | $51.29 | $79.43 | $162.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $30.90 Median $77.62 Typical High $257.04 | Professional | None | $30.90 | $77.62 | $257.04 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $75.86 Typical High $134.90 | Professional | QW · Waived lab test | $51.29 | $75.86 | $134.90 |
Tufts Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $102.33 | Facility | None | $51.29 | $58.88 | $102.33 |
Tufts Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $89.13 | Professional | None | $51.29 | $67.61 | $89.13 |
United Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $61.66 | Facility | None | $45.71 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $72.44 | Professional | None | $30.90 | $51.29 | $72.44 |
Well Sense Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $104.71 | Facility | None | $51.29 | $70.79 | $104.71 |
Well Sense Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | None | $51.29 | $51.29 | $61.66 |
2 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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Where Massachusetts sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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
$61.66
MN $105NM $47.86
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.