How much rates vary
Facilitymedian $251 · 10th to 90th $129 to $550Professionalmedian $174 · 10th to 90th $105 to $871
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 $125.89 Median $251.19 Typical High $562.34 | Facility | None | $125.89 | $251.19 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $537.03 | Facility | None | $128.82 | $199.53 | $537.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $104.71 Median $331.13 Typical High $870.96 | Professional | None | $104.71 | $331.13 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $562.34 | Facility | None | $281.84 | $389.05 | $562.34 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $213.80 Typical High $338.84 | Facility | None | $114.82 | $213.80 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $186.21 Typical High $676.08 | Professional | None | $100.00 | $186.21 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $295.12 Typical High $5,888.44 | Facility | None | $83.18 | $295.12 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | None | $251.19 | $251.19 | $295.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $457.09 | Professional | None | $104.71 | $173.78 | $457.09 |
Health New England Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Health New England Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Mass General Brigham Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $537.03 | Facility | None | $128.82 | $199.53 | $537.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $104.71 Median $331.13 Typical High $870.96 | Professional | None | $104.71 | $331.13 | $870.96 |
United Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $208.93 | Facility | None | $158.49 | $173.78 | $208.93 |
United Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $331.13 | Professional | None | $70.79 | $104.71 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | None | $134.90 | $134.90 | $162.18 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $173.78 Median $229.09 Typical High $269.15 | Facility | QW · Waived lab test | $173.78 | $229.09 | $269.15 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 18th of 51
$186
AK $398CT $105
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.