How much rates vary
Facilitymedian $977 · 10th to 90th $562 to $2,239Professionalmedian $759 · 10th to 90th $457 to $3,802
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $2,238.72 | Facility | None | $562.34 | $794.33 | $2,238.72 |
AllWays Health Partners Setting Professional Modifier None Typical Low $457.09 Median $1,148.15 Typical High $3,801.89 | Professional | None | $457.09 | $1,148.15 | $3,801.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $794.33 Median $1,513.56 Typical High $2,398.83 | Facility | None | $794.33 | $1,513.56 | $2,398.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $741.31 | Professional | None | $645.65 | $645.65 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $588.84 Typical High $1,348.96 | Facility | None | $501.19 | $588.84 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $794.33 Typical High $2,951.21 | Professional | None | $457.09 | $794.33 | $2,951.21 |
Fallon Health Setting Facility Modifier None Typical Low $851.14 Median $1,288.25 Typical High $5,888.44 | Facility | None | $851.14 | $1,288.25 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,862.09 | Professional | None | $457.09 | $758.58 | $1,862.09 |
Health New England Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,148.15 | Facility | None | $758.58 | $1,047.13 | $1,148.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $2,238.72 | Facility | None | $562.34 | $794.33 | $2,238.72 |
Mass General Brigham Setting Professional Modifier None Typical Low $457.09 Median $1,148.15 Typical High $3,801.89 | Professional | None | $457.09 | $1,148.15 | $3,801.89 |
Tufts Setting Facility Modifier None Typical Low $616.60 Median $776.25 Typical High $1,230.27 | Facility | None | $616.60 | $776.25 | $1,230.27 |
Tufts Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,202.26 | Professional | None | $562.34 | $758.58 | $1,202.26 |
United Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $912.01 | Facility | None | $676.08 | $758.58 | $912.01 |
United Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $1,445.44 | Professional | None | $302.00 | $457.09 | $1,445.44 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $2,511.89 | Facility | None | $676.08 | $933.25 | $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 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $758.58 Median $977.24 Typical High $1,174.90 | Facility | QW · Waived lab test | $758.58 | $977.24 | $1,174.90 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Maine. 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· 17th of 51
$759
AK $1,698ME $501
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.