How much rates vary
Facilitymedian $302 · 10th to 90th $182 to $708Professionalmedian $200 · 10th to 90th $120 to $1,000
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 $190.55 Median $380.19 Typical High $851.14 | Facility | None | $190.55 | $380.19 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $190.55 | Professional | None | $181.97 | $190.55 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $645.65 | Facility | None | $181.97 | $281.84 | $645.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $120.23 Median $389.05 Typical High $1,000.00 | Professional | None | $120.23 | $389.05 | $1,000.00 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $398.11 Median $562.34 Typical High $794.33 | Facility | None | $398.11 | $562.34 | $794.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $426.58 | Facility | None | $158.49 | $275.42 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $776.25 | Professional | None | $120.23 | $213.80 | $776.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $5,888.44 | Facility | None | $83.18 | $338.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | None | $288.40 | $288.40 | $338.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $645.65 | Professional | None | $120.23 | $199.53 | $645.65 |
Health New England Setting Facility Modifier None Typical Low $239.88 Median $398.11 Typical High $660.69 | Facility | None | $239.88 | $398.11 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $181.97 Median $281.84 Typical High $645.65 | Facility | None | $181.97 | $281.84 | $645.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $120.23 Median $389.05 Typical High $1,000.00 | Professional | None | $120.23 | $389.05 | $1,000.00 |
United Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $239.88 | Facility | None | $181.97 | $199.53 | $239.88 |
United Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $407.38 | Professional | None | $81.28 | $120.23 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $363.08 | Facility | None | $177.83 | $245.47 | $363.08 |
Well Sense Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | None | $208.93 | $208.93 | $251.19 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $199.53 Median $263.03 Typical High $309.03 | Facility | QW · Waived lab test | $199.53 | $263.03 | $309.03 |
Where Massachusetts sits
The same service costs 3.2 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· 12th of 51
$240
AK $457DE $141
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.