How much rates vary
Facilitymedian $74 · 10th to 90th $48 to $195Professionalmedian $60 · 10th to 90th $34 to $158
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 $44.67 Median $61.66 Typical High $199.53 | Facility | None | $44.67 | $61.66 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | None | $44.67 | $44.67 | $75.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $181.97 | Facility | None | $46.77 | $64.57 | $181.97 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $162.18 | Professional | None | $33.88 | $61.66 | $162.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.60 Median $141.25 Typical High $204.17 | Facility | None | $16.60 | $141.25 | $204.17 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | None | $58.88 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $77.62 Typical High $109.65 | Facility | None | $42.66 | $77.62 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $239.88 | Professional | None | $37.15 | $74.13 | $239.88 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $5,888.44 | Facility | None | $83.18 | $104.71 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $223.87 | Professional | None | $30.90 | $61.66 | $223.87 |
Health New England Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $239.88 | Facility | None | $60.26 | $83.18 | $239.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $181.97 | Facility | None | $46.77 | $64.57 | $181.97 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $162.18 | Professional | None | $33.88 | $61.66 | $162.18 |
Tufts Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $102.33 | Facility | None | $47.86 | $61.66 | $102.33 |
Tufts Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None | $47.86 | $47.86 | $57.54 |
United Setting Facility Modifier None Typical Low $56.23 Median $61.66 Typical High $74.13 | Facility | None | $56.23 | $61.66 | $74.13 |
United Setting Professional Modifier None Typical Low $25.12 Median $37.15 Typical High $131.83 | Professional | None | $25.12 | $37.15 | $131.83 |
Well Sense Setting Facility Modifier None Typical Low $47.86 Median $58.88 Typical High $93.33 | Facility | None | $47.86 | $58.88 | $93.33 |
Well Sense Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None | $47.86 | $47.86 | $57.54 |
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 $22.39 Median $22.39 Typical High $29.51 | Professional | 52 · Reduced service | $22.39 | $22.39 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $11.75 | Professional | 53 · Discontinued | $8.91 | $8.91 | $11.75 |
BCBS Massachusetts Setting Facility Modifier 52 · Reduced service Typical Low $57.54 Median $70.79 Typical High $102.33 | Facility | 52 · Reduced service | $57.54 | $70.79 | $102.33 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $61.66 Median $81.28 Typical High $95.50 | Facility | QW · Waived lab test | $61.66 | $81.28 | $95.50 |
Where Massachusetts sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 30th of 51
$61.66
AK $158KY $35.48
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.