How much rates vary
Facilitymedian $1,862 · 10th to 90th $955 to $3,715Professionalmedian $1,479 · 10th to 90th $646 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 Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $3,801.89 | Facility | None | $954.99 | $1,348.96 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $588.84 Median $1,949.84 Typical High $6,456.54 | Professional | None | $588.84 | $1,949.84 | $6,456.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,073.80 | Facility | None | $2,041.74 | $2,884.03 | $4,073.80 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $2,290.87 | Facility | None | $851.14 | $954.99 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,348.96 Typical High $5,011.87 | Professional | None | $676.08 | $1,348.96 | $5,011.87 |
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 $645.65 Median $1,288.25 Typical High $4,265.80 | Professional | None | $645.65 | $1,288.25 | $4,265.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $3,801.89 | Facility | None | $954.99 | $1,348.96 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $588.84 Median $1,949.84 Typical High $6,456.54 | Professional | None | $588.84 | $1,949.84 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,548.82 | Facility | None | $1,148.15 | $1,288.25 | $1,548.82 |
United Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $2,454.71 | Professional | None | $512.86 | $776.25 | $2,454.71 |
Well Sense Setting Facility Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,511.89 | Facility | None | $1,122.02 | $1,584.89 | $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 |
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 $316.23 Median $630.96 Typical High $1,412.54 | Facility | 53 · Discontinued | $316.23 | $630.96 | $1,412.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $316.23 | $316.23 | $316.23 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $1,288.25 Median $1,659.59 Typical High $1,995.26 | Facility | QW · Waived lab test | $1,288.25 | $1,659.59 | $1,995.26 |
Where Massachusetts sits
The same service costs 4.9 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· 9th of 51
$1,549
AK $2,884AL $589
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.