How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,000 to $3,890Professionalmedian $1,349 · 10th to 90th $724 to $6,761
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 $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $3,981.07 | Facility | None | $1,000.00 | $1,412.54 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $741.31 Median $2,041.74 Typical High $6,760.83 | Professional | None | $741.31 | $2,041.74 | $6,760.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.22 Median $2,691.53 Typical High $3,890.45 | Facility | None | $11.22 | $2,691.53 | $3,890.45 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $2,398.83 | Facility | None | $891.25 | $1,000.00 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,412.54 Typical High $5,248.07 | Professional | None | $724.44 | $1,412.54 | $5,248.07 |
Fallon Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $5,888.44 | Facility | None | $1,949.84 | $2,290.87 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,290.87 | Professional | None | $1,949.84 | $1,949.84 | $2,290.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $2,884.03 | Professional | None | $645.65 | $1,348.96 | $2,884.03 |
Health New England Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $3,981.07 | Facility | None | $1,000.00 | $1,412.54 | $3,981.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $741.31 Median $2,041.74 Typical High $6,760.83 | Professional | None | $741.31 | $2,041.74 | $6,760.83 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,348.96 | $1,621.81 |
United Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $2,570.40 | Professional | None | $537.03 | $812.83 | $2,570.40 |
Well Sense Setting Facility Modifier None Typical Low $1,202.26 Median $1,659.59 Typical High $2,511.89 | Facility | None | $1,202.26 | $1,659.59 | $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 $144.54 Median $288.40 Typical High $645.65 | Facility | 53 · Discontinued | $144.54 | $288.40 | $645.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $1,348.96 Median $1,737.80 Typical High $2,089.30 | Facility | QW · Waived lab test | $1,348.96 | $1,737.80 | $2,089.30 |
Where Massachusetts sits
The same service costs 5.1 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· 21st of 51
$1,349
AK $3,020AL $589
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.