How much rates vary
Facilitymedian $3,802 · 10th to 90th $2,138 to $8,318Professionalmedian $2,951 · 10th to 90th $891 to $14,454
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $8,511.38 | Facility | None | $2,137.96 | $3,090.30 | $8,511.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $4,365.16 Typical High $14,454.40 | Professional | None | $1,230.27 | $4,365.16 | $14,454.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,677.35 Median $5,754.40 Typical High $9,332.54 | Facility | None | $4,677.35 | $5,754.40 | $9,332.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,862.09 | Professional | None | $602.56 | $602.56 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,290.87 Typical High $5,128.61 | Facility | None | $1,905.46 | $2,290.87 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $11,481.54 | Professional | None | $1,698.24 | $3,090.30 | $11,481.54 |
Fallon Health Setting Facility Modifier None Typical Low $2,951.21 Median $4,168.69 Typical High $5,888.44 | Facility | None | $2,951.21 | $4,168.69 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,897.79 | Professional | None | $4,168.69 | $4,168.69 | $4,897.79 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,445.44 Median $2,951.21 Typical High $9,549.93 | Professional | None | $1,445.44 | $2,951.21 | $9,549.93 |
Health New England Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $6,309.57 | Facility | None | $2,290.87 | $2,290.87 | $6,309.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,137.96 Median $3,090.30 Typical High $8,511.38 | Facility | None | $2,137.96 | $3,090.30 | $8,511.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,230.27 Median $4,365.16 Typical High $14,454.40 | Professional | None | $1,230.27 | $4,365.16 | $14,454.40 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,467.37 | Facility | None | $2,630.27 | $2,951.21 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $5,623.41 | Professional | None | $1,174.90 | $1,737.80 | $5,623.41 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,235.94 | $5,128.61 |
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 $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2,951.21 Median $3,801.89 Typical High $4,570.88 | Facility | QW · Waived lab test | $2,951.21 | $3,801.89 | $4,570.88 |
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· 18th of 51
$2,951
AK $6,607AL $1,230
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.