How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,820 to $7,079Professionalmedian $2,455 · 10th to 90th $1,479 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 $1,698.24 Median $3,467.37 Typical High $7,585.78 | Facility | None | $1,698.24 | $3,467.37 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $7,413.10 | Facility | None | $1,819.70 | $2,818.38 | $7,413.10 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,479.11 Median $4,897.79 Typical High $12,302.69 | Professional | None | $1,479.11 | $4,897.79 | $12,302.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $6,165.95 | Facility | None | $2,454.71 | $3,090.30 | $6,165.95 |
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 $1,621.81 Median $1,905.46 Typical High $4,365.16 | Facility | None | $1,621.81 | $1,905.46 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $9,549.93 | Professional | None | $1,318.26 | $2,630.27 | $9,549.93 |
Fallon Health Setting Facility Modifier None Typical Low $1,288.25 Median $3,630.78 Typical High $8,511.38 | Facility | None | $1,288.25 | $3,630.78 | $8,511.38 |
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 $1,023.29 Median $2,454.71 Typical High $6,309.57 | Professional | None | $1,023.29 | $2,454.71 | $6,309.57 |
Health New England Setting Facility Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $3,890.45 | Facility | None | $1,513.56 | $1,862.09 | $3,890.45 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,819.70 Median $2,818.38 Typical High $7,413.10 | Facility | None | $1,819.70 | $2,818.38 | $7,413.10 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,479.11 Median $4,897.79 Typical High $12,302.69 | Professional | None | $1,479.11 | $4,897.79 | $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 $977.24 Median $1,479.11 Typical High $4,677.35 | Professional | None | $977.24 | $1,479.11 | $4,677.35 |
Well Sense Setting Facility Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $4,466.84 | Facility | None | $2,137.96 | $3,019.95 | $4,466.84 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
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 5.4 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· 19th of 51
$2,455
AK $5,495AL $1,023
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.