How much rates vary
Facilitymedian $871 · 10th to 90th $501 to $2,951Professionalmedian $661 · 10th to 90th $302 to $2,512
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $1,548.82 Typical High $3,235.94 | Facility | None | $549.54 | $1,548.82 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $954.99 Typical High $2,511.89 | Professional | None | $302.00 | $954.99 | $2,511.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $794.33 Median $1,122.02 Typical High $1,584.89 | Facility | None | $794.33 | $1,122.02 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $616.60 Typical High $977.24 | Facility | None | $323.59 | $616.60 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $1,949.84 | Professional | None | $302.00 | $524.81 | $1,949.84 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $831.76 Typical High $5,888.44 | Facility | None | $83.18 | $831.76 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | None | $707.95 | $707.95 | $831.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $302.00 Median $501.19 Typical High $1,174.90 | Professional | None | $302.00 | $501.19 | $1,174.90 |
Health New England Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $1,548.82 Typical High $3,235.94 | Facility | None | $549.54 | $1,548.82 | $3,235.94 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $954.99 Typical High $2,511.89 | Professional | None | $302.00 | $954.99 | $2,511.89 |
United Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $602.56 | Facility | None | $446.68 | $501.19 | $602.56 |
United Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $954.99 | Professional | None | $199.53 | $302.00 | $954.99 |
Well Sense Setting Facility Modifier None Typical Low $436.52 Median $602.56 Typical High $912.01 | Facility | None | $436.52 | $602.56 | $912.01 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $501.19 Median $645.65 Typical High $776.25 | Facility | QW · Waived lab test | $501.19 | $645.65 | $776.25 |
Where Massachusetts sits
The same service costs 3.8 times more in California 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· 9th of 51
$708
CA $1,202OK $316
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.