How much rates vary
Facilitymedian $17 · 10th to 90th $11 to $43Professionalmedian $13 · 10th to 90th $7 to $32
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 $11.48 Median $20.89 Typical High $53.70 | Facility | None | $11.48 | $20.89 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.60 | Professional | None | $11.48 | $11.48 | $16.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $9.12 Median $12.88 Typical High $38.02 | Facility | None | $9.12 | $12.88 | $38.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $30.20 | Professional | None | $7.24 | $12.02 | $30.20 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $10.72 Median $12.02 Typical High $29.51 | Professional | QW · Waived lab test | $10.72 | $12.02 | $29.51 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $46.77 | Facility | None | $23.44 | $33.11 | $46.77 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $15.49 | Professional | None | $11.22 | $11.75 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.38 Typical High $30.90 | Facility | None | $7.94 | $17.38 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $14.79 Typical High $46.77 | Professional | None | $8.91 | $14.79 | $46.77 |
Fallon Health Setting Facility Modifier None Typical Low $13.18 Median $17.38 Typical High $83.18 | Facility | None | $13.18 | $17.38 | $83.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $12.02 Median $15.85 Typical High $18.62 | Facility | QW · Waived lab test | $12.02 | $15.85 | $18.62 |
Fallon Health Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $20.42 | Professional | None | $13.18 | $17.38 | $20.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $48.98 | Professional | None | $6.03 | $12.02 | $48.98 |
Health New England Setting Facility Modifier None Typical Low $15.85 Median $40.74 Typical High $102.33 | Facility | None | $15.85 | $40.74 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $9.12 Median $12.88 Typical High $38.02 | Facility | None | $9.12 | $12.88 | $38.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $30.20 | Professional | None | $7.24 | $12.02 | $30.20 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $10.72 Median $12.02 Typical High $29.51 | Professional | QW · Waived lab test | $10.72 | $12.02 | $29.51 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.02 Typical High $14.45 | Facility | None | $10.96 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $4.79 Median $9.33 Typical High $25.70 | Professional | None | $4.79 | $9.33 | $25.70 |
Well Sense Setting Facility Modifier None Typical Low $10.72 Median $13.18 Typical High $20.89 | Facility | None | $10.72 | $13.18 | $20.89 |
Well Sense Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.14 | Professional | None | $12.59 | $12.59 | $15.14 |
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 $5.75 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.75 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Georgia. 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· 14th of 51
$14.79
AK $33.11GA $8.32
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.