How much rates vary
Facilitymedian $1,148 · 10th to 90th $513 to $2,884Professionalmedian $1,230 · 10th to 90th $355 to $6,457
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 $537.03 Median $977.24 Typical High $3,311.31 | Facility | None | $537.03 | $977.24 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $263.03 Median $1,548.82 Typical High $6,456.54 | Professional | None | $263.03 | $1,548.82 | $6,456.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $40.74 Median $1,445.44 Typical High $2,089.30 | Facility | None | $40.74 | $1,445.44 | $2,089.30 |
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 $380.19 Median $707.95 Typical High $1,174.90 | Facility | None | $380.19 | $707.95 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $776.25 Typical High $2,290.87 | Professional | None | $380.19 | $776.25 | $2,290.87 |
Fallon Health Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $5,888.44 | Facility | None | $1,862.09 | $2,187.76 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,862.09 | $1,862.09 | $2,187.76 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $354.81 Median $1,318.26 Typical High $2,137.96 | Professional | None | $354.81 | $1,318.26 | $2,137.96 |
Health New England Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $977.24 Typical High $3,311.31 | Facility | None | $537.03 | $977.24 | $3,311.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $263.03 Median $1,548.82 Typical High $6,456.54 | Professional | None | $263.03 | $1,548.82 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $1,548.82 | Facility | None | $1,174.90 | $1,318.26 | $1,548.82 |
United Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $1,230.27 | Professional | None | $234.42 | $354.81 | $1,230.27 |
Well Sense Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $2,511.89 | Facility | None | $512.86 | $707.95 | $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 $1,318.26 Median $1,698.24 Typical High $2,041.74 | Facility | QW · Waived lab test | $1,318.26 | $1,698.24 | $2,041.74 |
Where Massachusetts sits
The same service costs 4.0 times more in Wisconsin 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· 9th of 51
$1,175
WI $1,549GA $389
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.