How much rates vary
Facilitymedian $1,479 · 10th to 90th $851 to $2,692Professionalmedian $1,122 · 10th to 90th $513 to $4,266
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,778.28 Typical High $2,754.23 | Facility | None | $933.25 | $1,778.28 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $512.86 Median $1,621.81 Typical High $4,265.80 | Professional | None | $512.86 | $1,621.81 | $4,265.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,691.53 | Facility | None | $1,348.96 | $1,905.46 | $2,691.53 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $831.76 | Professional | None | $363.08 | $363.08 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $1,659.59 | Facility | None | $537.03 | $933.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $891.25 Typical High $3,311.31 | Professional | None | $501.19 | $891.25 | $3,311.31 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,412.54 Typical High $5,888.44 | Facility | None | $83.18 | $1,412.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $512.86 Median $851.14 Typical High $1,905.46 | Professional | None | $512.86 | $851.14 | $1,905.46 |
Mass General Brigham Setting Facility Modifier None Typical Low $933.25 Median $1,778.28 Typical High $2,754.23 | Facility | None | $933.25 | $1,778.28 | $2,754.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $512.86 Median $1,621.81 Typical High $4,265.80 | Professional | None | $512.86 | $1,621.81 | $4,265.80 |
United Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $1,023.29 | Facility | None | $758.58 | $851.14 | $1,023.29 |
United Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $1,621.81 | Professional | None | $338.84 | $512.86 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,548.82 | Facility | None | $741.31 | $1,023.29 | $1,548.82 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $239.88 | $239.88 | $239.88 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $851.14 Median $1,096.48 Typical High $1,318.26 | Facility | QW · Waived lab test | $851.14 | $1,096.48 | $1,318.26 |
Where Massachusetts sits
The same service costs 4.4 times more in Alaska 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· 5th of 51
$1,202
AK $1,905OK $437
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.