How much rates vary
Facilitymedian $794 · 10th to 90th $407 to $1,660Professionalmedian $562 · 10th to 90th $331 to $2,754
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $812.83 | Professional | None | $501.19 | $501.19 | $812.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $1,698.24 | Facility | None | $407.38 | $630.96 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier None Typical Low $331.13 Median $1,071.52 Typical High $2,754.23 | Professional | None | $331.13 | $1,071.52 | $2,754.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,778.28 | Facility | None | $891.25 | $1,258.93 | $1,778.28 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $549.54 | Professional | None | $302.00 | $302.00 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $436.52 Typical High $1,096.48 | Facility | None | $257.04 | $436.52 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $588.84 Typical High $2,187.76 | Professional | None | $331.13 | $588.84 | $2,187.76 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $933.25 Typical High $5,888.44 | Facility | None | $83.18 | $933.25 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None | $794.33 | $794.33 | $933.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $1,258.93 | Professional | None | $331.13 | $562.34 | $1,258.93 |
Health New England Setting Facility Modifier None Typical Low $870.96 Median $1,174.90 Typical High $1,230.27 | Facility | None | $870.96 | $1,174.90 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $1,698.24 | Facility | None | $407.38 | $630.96 | $1,698.24 |
Mass General Brigham Setting Professional Modifier None Typical Low $331.13 Median $1,071.52 Typical High $2,754.23 | Professional | None | $331.13 | $1,071.52 | $2,754.23 |
Tufts Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $912.01 | Facility | None | $457.09 | $575.44 | $912.01 |
United Setting Facility Modifier None Typical Low $501.19 Median $562.34 Typical High $660.69 | Facility | None | $501.19 | $562.34 | $660.69 |
United Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $1,071.52 | Professional | None | $223.87 | $331.13 | $1,071.52 |
Well Sense Setting Facility Modifier None Typical Low $489.78 Median $676.08 Typical High $1,000.00 | Facility | None | $489.78 | $676.08 | $1,000.00 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $562.34 Median $724.44 Typical High $870.96 | Facility | QW · Waived lab test | $562.34 | $724.44 | $870.96 |
Where Massachusetts sits
The same service costs 4.6 times more in Kansas than in Oklahoma. 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
$589
KS $1,514OK $331
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.