How much rates vary
Facilitymedian $68 · 10th to 90th $42 to $170Professionalmedian $48 · 10th to 90th $29 to $126
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 $42.66 Median $83.18 Typical High $199.53 | Facility | None | $42.66 | $83.18 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $83.18 | Professional | None | $42.66 | $42.66 | $83.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $144.54 | Facility | None | $35.48 | $52.48 | $144.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $120.23 | Professional | None | $28.84 | $47.86 | $120.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $61.66 Median $117.49 Typical High $186.21 | Facility | None | $61.66 | $117.49 | $186.21 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $57.54 | Professional | None | $44.67 | $46.77 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $66.07 Typical High $120.23 | Facility | None | $31.62 | $66.07 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $58.88 Typical High $186.21 | Professional | None | $32.36 | $58.88 | $186.21 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $81.28 Typical High $4,897.79 | Facility | None | $67.61 | $81.28 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $23.99 Median $47.86 Typical High $181.97 | Professional | None | $23.99 | $47.86 | $181.97 |
Health New England Setting Facility Modifier None Typical Low $58.88 Median $66.07 Typical High $436.52 | Facility | None | $58.88 | $66.07 | $436.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $144.54 | Facility | None | $35.48 | $52.48 | $144.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $120.23 | Professional | None | $28.84 | $47.86 | $120.23 |
Tufts Setting Facility Modifier None Typical Low $41.69 Median $47.86 Typical High $72.44 | Facility | None | $41.69 | $47.86 | $72.44 |
Tufts Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $75.86 | Professional | None | $41.69 | $46.77 | $75.86 |
United Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $57.54 | Facility | None | $42.66 | $47.86 | $57.54 |
United Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $100.00 | Professional | None | $19.05 | $33.88 | $100.00 |
Well Sense Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $83.18 | Facility | None | $41.69 | $52.48 | $83.18 |
Well Sense Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | None | $46.77 | $46.77 | $56.23 |
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 $21.38 Median $21.38 Typical High $26.30 | Professional | 52 · Reduced service | $21.38 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $10.72 | Professional | 53 · Discontinued | $8.51 | $8.51 | $10.72 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $47.86 Median $61.66 Typical High $74.13 | Facility | QW · Waived lab test | $47.86 | $61.66 | $74.13 |
Where Massachusetts sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 21st of 51
$53.70
AK $158AL $23.99
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.