How much rates vary
Facilitymedian $40 · 10th to 90th $24 to $93Professionalmedian $48 · 10th to 90th $18 to $3,236
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 $25.12 Median $46.77 Typical High $117.49 | Facility | None | $25.12 | $46.77 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $117.49 | Professional | None | $25.12 | $25.12 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $23.99 Median $37.15 Typical High $85.11 | Facility | None | $23.99 | $37.15 | $85.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $22.39 Median $70.79 Typical High $3,235.94 | Professional | None | $22.39 | $70.79 | $3,235.94 |
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 $25.12 Median $25.12 Typical High $33.88 | Professional | None | $25.12 | $25.12 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $42.66 Typical High $102.33 | Facility | None | $21.38 | $42.66 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $38.90 Typical High $125.89 | Professional | None | $15.85 | $38.90 | $125.89 |
Fallon Health Setting Facility Modifier None Typical Low $37.15 Median $44.67 Typical High $5,888.44 | Facility | None | $37.15 | $44.67 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.95 Median $46.77 Typical High $69.18 | Professional | None | $19.95 | $46.77 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $34.67 Median $46.77 Typical High $147.91 | Facility | None | $34.67 | $46.77 | $147.91 |
Health New England Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $23.99 Median $37.15 Typical High $85.11 | Facility | None | $23.99 | $37.15 | $85.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $22.39 Median $70.79 Typical High $3,235.94 | Professional | None | $22.39 | $70.79 | $3,235.94 |
Tufts Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $60.26 | Facility | None | $25.70 | $31.62 | $60.26 |
Tufts Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $42.66 | Professional | None | $29.51 | $29.51 | $42.66 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $31.62 | Facility | None | $23.99 | $26.92 | $31.62 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $67.61 | Professional | None | $15.85 | $26.92 | $67.61 |
Well Sense Setting Facility Modifier None Typical Low $23.44 Median $32.36 Typical High $47.86 | Facility | None | $23.44 | $32.36 | $47.86 |
Well Sense Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
4 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 $12.59 Median $12.59 Typical High $58.88 | Professional | 52 · Reduced service | $12.59 | $12.59 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $23.99 | Professional | 53 · Discontinued | $5.01 | $5.01 | $23.99 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $26.30 Median $32.36 Typical High $46.77 | Facility | 52 · Reduced service | $26.30 | $32.36 | $46.77 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.92 Median $34.67 Typical High $41.69 | Facility | QW · Waived lab test | $26.92 | $34.67 | $41.69 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska 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· 12th of 51
$44.67
AK $95.50MD $21.38
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.