How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,660 to $6,457Professionalmedian $1,820 · 10th to 90th $1,096 to $9,120
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 $1,737.80 Median $3,467.37 Typical High $7,762.47 | Facility | None | $1,737.80 | $3,467.37 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $5,888.44 | Facility | None | $1,659.59 | $2,570.40 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,096.48 Median $3,715.35 Typical High $9,120.11 | Professional | None | $1,096.48 | $3,715.35 | $9,120.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $48.98 Median $4,466.84 Typical High $6,456.54 | Facility | None | $48.98 | $4,466.84 | $6,456.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,778.28 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,778.28 | $1,819.70 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,511.89 Typical High $3,890.45 | Facility | None | $1,412.54 | $2,511.89 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,949.84 Typical High $7,079.46 | Professional | None | $1,096.48 | $1,949.84 | $7,079.46 |
Fallon Health Setting Facility Modifier None Typical Low $1,318.26 Median $3,090.30 Typical High $8,511.38 | Facility | None | $1,318.26 | $3,090.30 | $8,511.38 |
Fallon Health Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,630.27 | $2,630.27 | $3,090.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $5,754.40 | Professional | None | $1,096.48 | $1,819.70 | $5,754.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $5,888.44 | Facility | None | $1,659.59 | $2,570.40 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,096.48 Median $3,715.35 Typical High $9,120.11 | Professional | None | $1,096.48 | $3,715.35 | $9,120.11 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,659.59 | $1,819.70 | $2,187.76 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $3,715.35 | Professional | None | $724.44 | $1,096.48 | $3,715.35 |
Well Sense Setting Facility Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,311.31 | Facility | None | $1,621.81 | $2,238.72 | $3,311.31 |
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 $870.96 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $1,819.70 Median $2,398.83 Typical High $2,818.38 | Facility | QW · Waived lab test | $1,819.70 | $2,398.83 | $2,818.38 |
Where Massachusetts sits
The same service costs 4.3 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· 23rd of 51
$1,995
AK $4,074AL $955
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.