How much rates vary
Facilitymedian $32 · 10th to 90th $19 to $76Professionalmedian $35 · 10th to 90th $15 to $178
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 $19.50 Median $35.48 Typical High $91.20 | Facility | None | $19.50 | $35.48 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $91.20 | Professional | None | $19.50 | $19.50 | $91.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $64.57 | Facility | None | $18.62 | $28.84 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $17.38 Median $53.70 Typical High $177.83 | Professional | None | $17.38 | $53.70 | $177.83 |
BCBS Setting Facility Modifier None Typical Low $39.81 Median $56.23 Typical High $79.43 | Facility | None | $39.81 | $56.23 | $79.43 |
BCBS Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | None | $19.05 | $19.05 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $34.67 Typical High $77.62 | Facility | None | $16.22 | $34.67 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $30.20 Typical High $97.72 | Professional | None | $12.30 | $30.20 | $97.72 |
Fallon Health Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $5,888.44 | Facility | None | $28.84 | $34.67 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.14 Median $34.67 Typical High $52.48 | Professional | None | $15.14 | $34.67 | $52.48 |
Health New England Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $79.43 | Facility | None | $39.81 | $61.66 | $79.43 |
Health New England Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None | $19.05 | $19.05 | $22.39 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $64.57 | Facility | None | $18.62 | $28.84 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $17.38 Median $53.70 Typical High $177.83 | Professional | None | $17.38 | $53.70 | $177.83 |
Tufts Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $44.67 | Facility | None | $17.78 | $22.91 | $44.67 |
Tufts Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | None | $22.39 | $22.39 | $32.36 |
United Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $24.55 | Facility | None | $18.20 | $20.42 | $24.55 |
United Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $51.29 | Professional | None | $12.02 | $20.42 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $17.78 Median $24.55 Typical High $37.15 | Facility | None | $17.78 | $24.55 | $37.15 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.84 | Professional | None | $24.55 | $24.55 | $28.84 |
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 $9.55 Median $9.55 Typical High $45.71 | Professional | 52 · Reduced service | $9.55 | $9.55 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $18.20 | Professional | 53 · Discontinued | $3.89 | $3.89 | $18.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $20.42 Median $26.30 Typical High $31.62 | Facility | QW · Waived lab test | $20.42 | $26.30 | $31.62 |
Where Massachusetts sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 11th of 51
$34.67
VT $70.79IL $15.49
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.