How much rates vary
Facilitymedian $479 · 10th to 90th $224 to $1,230Professionalmedian $302 · 10th to 90th $182 to $1,514
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 $229.09 Median $457.09 Typical High $1,023.29 | Facility | None | $229.09 | $457.09 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $912.01 | Facility | None | $223.87 | $338.84 | $912.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,513.56 | Professional | None | $181.97 | $575.44 | $1,513.56 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $478.63 Median $741.31 Typical High $2,754.23 | Facility | None | $478.63 | $741.31 | $2,754.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $363.08 Typical High $588.84 | Facility | None | $194.98 | $363.08 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $323.59 Typical High $1,174.90 | Professional | None | $165.96 | $323.59 | $1,174.90 |
Fallon Health Setting Facility Modifier None Typical Low $173.78 Median $501.19 Typical High $5,888.44 | Facility | None | $173.78 | $501.19 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | None | $426.58 | $426.58 | $501.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $851.14 | Professional | None | $181.97 | $302.00 | $851.14 |
Health New England Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $912.01 | Facility | None | $223.87 | $338.84 | $912.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,513.56 | Professional | None | $181.97 | $575.44 | $1,513.56 |
United Setting Facility Modifier None Typical Low $269.15 Median $302.00 Typical High $363.08 | Facility | None | $269.15 | $302.00 | $363.08 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $575.44 | Professional | None | $120.23 | $181.97 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $549.54 | Facility | None | $263.03 | $363.08 | $549.54 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $45.71 | $45.71 | $45.71 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $302.00 Median $389.05 Typical High $467.74 | Facility | QW · Waived lab test | $302.00 | $389.05 | $467.74 |
Where Massachusetts sits
The same service costs 3.9 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· 15th of 51
$331
AK $676AL $174
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.