How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,514 to $6,166Professionalmedian $2,138 · 10th to 90th $513 to $10,715
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 $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 $1,584.89 Median $1,905.46 Typical High $6,309.57 | Facility | None | $1,584.89 | $1,905.46 | $6,309.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $851.14 Median $3,235.94 Typical High $10,715.19 | Professional | None | $851.14 | $3,235.94 | $10,715.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $34.67 Median $4,265.80 Typical High $6,165.95 | Facility | None | $34.67 | $4,265.80 | $6,165.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,513.56 Typical High $3,801.89 | Facility | None | $467.74 | $1,513.56 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,238.72 Typical High $8,317.64 | Professional | None | $1,258.93 | $2,238.72 | $8,317.64 |
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 $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,090.30 | $3,630.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $602.56 Median $2,137.96 Typical High $4,570.88 | Professional | None | $602.56 | $2,137.96 | $4,570.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $6,309.57 | Facility | None | $1,584.89 | $1,905.46 | $6,309.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $851.14 Median $3,235.94 Typical High $10,715.19 | Professional | None | $851.14 | $3,235.94 | $10,715.19 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,570.40 | Facility | None | $1,949.84 | $2,137.96 | $2,570.40 |
United Setting Professional Modifier None Typical Low $363.08 Median $1,288.25 Typical High $4,073.80 | Professional | None | $363.08 | $1,288.25 | $4,073.80 |
Well Sense Setting Facility Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $3,715.35 | Facility | None | $1,905.46 | $2,344.23 | $3,715.35 |
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 $104.71 Median $208.93 Typical High $457.09 | Facility | 53 · Discontinued | $104.71 | $208.93 | $457.09 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $104.71 | $104.71 | $104.71 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2,137.96 Median $2,818.38 Typical High $3,311.31 | Facility | QW · Waived lab test | $2,137.96 | $2,818.38 | $3,311.31 |
Where Massachusetts sits
The same service costs 6.0 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· 15th of 51
$2,138
AK $4,786KY $794
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.