How much rates vary
Facilitymedian $245 · 10th to 90th $135 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 $141.25 Median $281.84 Typical High $630.96 | Facility | None | $141.25 | $281.84 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $537.03 | Facility | None | $134.90 | $208.93 | $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 $295.12 Median $416.87 Typical High $588.84 | Facility | None | $295.12 | $416.87 | $588.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $363.08 | Facility | None | $120.23 | $223.87 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $676.08 | Professional | None | $102.33 | $181.97 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $288.40 Typical High $5,888.44 | Facility | None | $83.18 | $288.40 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None | $245.47 | $245.47 | $288.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $512.86 | Professional | None | $104.71 | $173.78 | $512.86 |
Health New England Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $537.03 | Facility | None | $134.90 | $208.93 | $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 $154.88 Median $173.78 Typical High $208.93 | Facility | None | $154.88 | $173.78 | $208.93 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $331.13 | Professional | None | $69.18 | $104.71 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $316.23 | Facility | None | $151.36 | $208.93 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $186.21 | Professional | None | $154.88 | $154.88 | $186.21 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $173.78 Median $223.87 Typical High $269.15 | Facility | QW · Waived lab test | $173.78 | $223.87 | $269.15 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 15th of 51
$204
AK $389DE $115
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.