How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,820 to $7,079Professionalmedian $2,455 · 10th to 90th $513 to $12,303
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 $512.86 Median $1,023.29 Typical High $2,290.87 | Facility | None | $512.86 | $1,023.29 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $7,079.46 | Facility | None | $1,819.70 | $2,137.96 | $7,079.46 |
AllWays Health Partners Setting Professional Modifier None Typical Low $977.24 Median $3,715.35 Typical High $12,302.69 | Professional | None | $977.24 | $3,715.35 | $12,302.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,890.45 Median $5,495.41 Typical High $7,762.47 | Facility | None | $3,890.45 | $5,495.41 | $7,762.47 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,698.24 Typical High $4,365.16 | Facility | None | $467.74 | $1,698.24 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $9,549.93 | Professional | None | $1,230.27 | $2,570.40 | $9,549.93 |
Fallon Health Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $5,888.44 | Facility | None | $2,951.21 | $3,630.78 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,168.69 | Professional | None | $3,467.37 | $3,467.37 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $602.56 Median $2,454.71 Typical High $5,248.07 | Professional | None | $602.56 | $2,454.71 | $5,248.07 |
Health New England Setting Facility Modifier None Typical Low $575.44 Median $1,513.56 Typical High $1,513.56 | Facility | None | $575.44 | $1,513.56 | $1,513.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $7,079.46 | Facility | None | $1,819.70 | $2,137.96 | $7,079.46 |
Mass General Brigham Setting Professional Modifier None Typical Low $977.24 Median $3,715.35 Typical High $12,302.69 | Professional | None | $977.24 | $3,715.35 | $12,302.69 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $2,951.21 | Facility | None | $2,187.76 | $2,454.71 | $2,951.21 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,479.11 Typical High $4,677.35 | Professional | None | $363.08 | $1,479.11 | $4,677.35 |
Well Sense Setting Facility Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $4,265.80 | Facility | None | $2,137.96 | $2,691.53 | $4,265.80 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $102.33 | $102.33 | $102.33 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2,454.71 Median $3,162.28 Typical High $3,801.89 | Facility | QW · Waived lab test | $2,454.71 | $3,162.28 | $3,801.89 |
Where Massachusetts sits
The same service costs 6.8 times more in Alaska than in Kentucky. 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· 11th of 51
$2,455
AK $5,495KY $813
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.