How much rates vary
Facilitymedian $676 · 10th to 90th $372 to $1,514Professionalmedian $513 · 10th to 90th $302 to $2,512
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 Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $602.56 | Professional | None | $371.54 | $407.38 | $602.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,479.11 | Facility | None | $371.54 | $524.81 | $1,479.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $758.58 Typical High $2,511.89 | Professional | None | $302.00 | $758.58 | $2,511.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.22 Median $1,000.00 Typical High $1,445.44 | Facility | None | $11.22 | $1,000.00 | $1,445.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $371.54 Typical High $891.25 | Facility | None | $331.13 | $371.54 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $537.03 Typical High $1,949.84 | Professional | None | $269.15 | $537.03 | $1,949.84 |
Fallon Health Setting Facility Modifier None Typical Low $724.44 Median $851.14 Typical High $5,888.44 | Facility | None | $724.44 | $851.14 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None | $724.44 | $724.44 | $851.14 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $251.19 Median $501.19 Typical High $1,659.59 | Professional | None | $251.19 | $501.19 | $1,659.59 |
Health New England Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $371.54 Median $524.81 Typical High $1,479.11 | Facility | None | $371.54 | $524.81 | $1,479.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $758.58 Typical High $2,511.89 | Professional | None | $302.00 | $758.58 | $2,511.89 |
United Setting Facility Modifier None Typical Low $457.09 Median $501.19 Typical High $602.56 | Facility | None | $457.09 | $501.19 | $602.56 |
United Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $954.99 | Professional | None | $199.53 | $302.00 | $954.99 |
Well Sense Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $2,511.89 | Facility | None | $446.68 | $616.60 | $2,511.89 |
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 |
4 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 Facility Modifier 53 · Discontinued Typical Low $70.79 Median $141.25 Typical High $316.23 | Facility | 53 · Discontinued | $70.79 | $141.25 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $70.79 | $70.79 | $70.79 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $501.19 Median $660.69 Typical High $776.25 | Facility | QW · Waived lab test | $501.19 | $660.69 | $776.25 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 10th of 51
$575
AK $1,122GA $302
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.