How much rates vary
Facilitymedian $34 · 10th to 90th $18 to $72Professionalmedian $25 · 10th to 90th $14 to $60
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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $67.61 | Facility | None | $18.20 | $26.30 | $67.61 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $63.10 | Professional | None | $14.45 | $23.99 | $63.10 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $21.38 Median $23.99 Typical High $58.88 | Professional | QW · Waived lab test | $21.38 | $23.99 | $58.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $14.45 Median $58.88 Typical High $85.11 | Facility | None | $14.45 | $58.88 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $19.50 Typical High $42.66 | Facility | None | $15.85 | $19.50 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $33.11 | Professional | None | $12.88 | $17.38 | $33.11 |
Fallon Health Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $83.18 | Facility | None | $26.92 | $34.67 | $83.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $23.99 Median $31.62 Typical High $37.15 | Facility | QW · Waived lab test | $23.99 | $31.62 | $37.15 |
Fallon Health Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $40.74 | Professional | None | $26.92 | $34.67 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $11.48 Median $23.99 Typical High $67.61 | Professional | None | $11.48 | $23.99 | $67.61 |
Health New England Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $74.13 | Facility | None | $25.70 | $30.90 | $74.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $67.61 | Facility | None | $18.20 | $26.30 | $67.61 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $63.10 | Professional | None | $14.45 | $23.99 | $63.10 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $21.38 Median $23.99 Typical High $58.88 | Professional | QW · Waived lab test | $21.38 | $23.99 | $58.88 |
United Setting Facility Modifier None Typical Low $21.88 Median $23.99 Typical High $28.84 | Facility | None | $21.88 | $23.99 | $28.84 |
United Setting Professional Modifier None Typical Low $9.55 Median $16.98 Typical High $50.12 | Professional | None | $9.55 | $16.98 | $50.12 |
Well Sense Setting Facility Modifier None Typical Low $21.38 Median $26.30 Typical High $41.69 | Facility | None | $21.38 | $26.30 | $41.69 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Massachusetts sits
The same service costs 3.6 times more in Hawaii 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· 9th of 51
$29.51
HI $54.95MD $15.14
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.