How much rates vary
Facilitymedian $107 · 10th to 90th $63 to $257Professionalmedian $74 · 10th to 90th $45 to $200
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 $70.79 Median $144.54 Typical High $316.23 | Facility | None | $70.79 | $144.54 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $85.11 | Professional | None | $60.26 | $70.79 | $85.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $239.88 | Facility | None | $56.23 | $81.28 | $239.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $194.98 | Professional | None | $44.67 | $74.13 | $194.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $63.10 Median $181.97 Typical High $263.03 | Facility | None | $63.10 | $181.97 | $263.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $102.33 | Professional | None | $70.79 | $74.13 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $89.13 Typical High $147.91 | Facility | None | $48.98 | $89.13 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $91.20 Typical High $295.12 | Professional | None | $45.71 | $91.20 | $295.12 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $5,888.44 | Facility | None | $107.15 | $125.89 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | None | $107.15 | $107.15 | $125.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $295.12 | Professional | None | $37.15 | $74.13 | $295.12 |
Health New England Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $97.72 | Facility | None | $63.10 | $97.72 | $97.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $239.88 | Facility | None | $56.23 | $81.28 | $239.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $194.98 | Professional | None | $44.67 | $74.13 | $194.98 |
Tufts Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $120.23 | Professional | None | $66.07 | $75.86 | $120.23 |
United Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $89.13 | Facility | None | $67.61 | $74.13 | $89.13 |
United Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $158.49 | Professional | None | $30.20 | $54.95 | $158.49 |
Well Sense Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $131.83 | Facility | None | $66.07 | $83.18 | $131.83 |
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 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $14.13 | $14.13 | $14.13 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $74.13 Median $97.72 Typical High $114.82 | Facility | QW · Waived lab test | $74.13 | $97.72 | $114.82 |
Where Massachusetts sits
The same service costs 5.4 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· 20th of 51
$79.43
AK $170AL $31.62
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.