How much rates vary
Facilitymedian $437 · 10th to 90th $269 to $1,047Professionalmedian $295 · 10th to 90th $178 to $1,479
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 $281.84 Median $562.34 Typical High $1,258.93 | Facility | None | $281.84 | $562.34 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $954.99 | Facility | None | $269.15 | $416.87 | $954.99 |
AllWays Health Partners Setting Professional Modifier None Typical Low $177.83 Median $562.34 Typical High $1,479.11 | Professional | None | $177.83 | $562.34 | $1,479.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $1,174.90 | Facility | None | $575.44 | $812.83 | $1,174.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $616.60 | Facility | None | $229.09 | $398.11 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $1,148.15 | Professional | None | $177.83 | $309.03 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $501.19 Typical High $5,888.44 | Facility | None | $83.18 | $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 $177.83 Median $295.12 Typical High $933.25 | Professional | None | $177.83 | $295.12 | $933.25 |
Health New England Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $389.05 | Facility | None | $380.19 | $380.19 | $389.05 |
Mass General Brigham Setting Facility Modifier None Typical Low $269.15 Median $416.87 Typical High $954.99 | Facility | None | $269.15 | $416.87 | $954.99 |
Mass General Brigham Setting Professional Modifier None Typical Low $177.83 Median $562.34 Typical High $1,479.11 | Professional | None | $177.83 | $562.34 | $1,479.11 |
United Setting Facility Modifier None Typical Low $263.03 Median $295.12 Typical High $354.81 | Facility | None | $263.03 | $295.12 | $354.81 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $588.84 | Professional | None | $117.49 | $177.83 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $537.03 | Facility | None | $257.04 | $363.08 | $537.03 |
Well Sense Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None | $302.00 | $302.00 | $363.08 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $56.23 | $56.23 | $56.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $295.12 Median $380.19 Typical High $457.09 | Facility | QW · Waived lab test | $295.12 | $380.19 | $457.09 |
Where Massachusetts sits
The same service costs 3.8 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· 14th of 51
$355
AK $661AL $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.