How much rates vary
Facilitymedian $43 · 10th to 90th $24 to $93Professionalmedian $33 · 10th to 90th $17 to $81
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 $21.38 Median $42.66 Typical High $95.50 | Facility | None | $21.38 | $42.66 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $33.11 | Professional | None | $21.38 | $21.38 | $33.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $23.99 Median $34.67 Typical High $95.50 | Facility | None | $23.99 | $34.67 | $95.50 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.98 Median $31.62 Typical High $85.11 | Professional | None | $16.98 | $31.62 | $85.11 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $28.84 Median $33.11 Typical High $79.43 | Professional | QW · Waived lab test | $28.84 | $33.11 | $79.43 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $104.71 | Facility | None | $52.48 | $74.13 | $104.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | None | $28.84 | $28.84 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $33.11 Typical High $57.54 | Facility | None | $21.38 | $33.11 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $39.81 Typical High $128.82 | Professional | None | $17.78 | $39.81 | $128.82 |
Fallon Health Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $104.71 | Facility | None | $33.11 | $45.71 | $104.71 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $33.11 Median $42.66 Typical High $51.29 | Facility | QW · Waived lab test | $33.11 | $42.66 | $51.29 |
Fallon Health Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $54.95 | Professional | None | $36.31 | $46.77 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.85 Median $33.11 Typical High $112.20 | Professional | None | $15.85 | $33.11 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $23.99 Median $34.67 Typical High $95.50 | Facility | None | $23.99 | $34.67 | $95.50 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.98 Median $31.62 Typical High $85.11 | Professional | None | $16.98 | $31.62 | $85.11 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $28.84 Median $33.11 Typical High $79.43 | Professional | QW · Waived lab test | $28.84 | $33.11 | $79.43 |
United Setting Facility Modifier None Typical Low $29.51 Median $33.11 Typical High $38.90 | Facility | None | $29.51 | $33.11 | $38.90 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.50 Typical High $69.18 | Professional | None | $13.18 | $19.50 | $69.18 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $36.31 Typical High $57.54 | Facility | None | $22.91 | $36.31 | $57.54 |
Well Sense Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $27.54 | Professional | None | $22.91 | $22.91 | $27.54 |
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 $10.72 Median $10.72 Typical High $12.02 | Professional | 52 · Reduced service | $10.72 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.79 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.79 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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
$34.67
AK $74.13KY $19.50
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.