How much rates vary
Facilitymedian $1,514 · 10th to 90th $891 to $2,884Professionalmedian $891 · 10th to 90th $363 to $4,467
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | None | $309.03 | $309.03 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,737.80 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None Typical Low $537.03 Median $1,698.24 Typical High $4,466.84 | Professional | None | $537.03 | $1,698.24 | $4,466.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $2,884.03 | Facility | None | $1,445.44 | $1,995.26 | $2,884.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,737.80 | Facility | None | $524.81 | $912.01 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $954.99 Typical High $3,467.37 | Professional | None | $537.03 | $954.99 | $3,467.37 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,513.56 Typical High $5,888.44 | Facility | None | $83.18 | $1,513.56 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,288.25 | $1,513.56 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $2,238.72 | Professional | None | $537.03 | $891.25 | $2,238.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $2,951.21 | Facility | None | $1,000.00 | $1,737.80 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None Typical Low $537.03 Median $1,698.24 Typical High $4,466.84 | Professional | None | $537.03 | $1,698.24 | $4,466.84 |
United Setting Facility Modifier None Typical Low $812.83 Median $891.25 Typical High $1,071.52 | Facility | None | $812.83 | $891.25 | $1,071.52 |
United Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $1,698.24 | Professional | None | $363.08 | $537.03 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,621.81 | Facility | None | $794.33 | $1,096.48 | $1,621.81 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $891.25 Median $1,174.90 Typical High $1,380.38 | Facility | QW · Waived lab test | $891.25 | $1,174.90 | $1,380.38 |
Where Massachusetts sits
The same service costs 5.1 times more in Texas 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· 16th of 51
$955
TX $2,399OK $468
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.