How much rates vary
Facilitymedian $1,349 · 10th to 90th $692 to $2,754Professionalmedian $1,072 · 10th to 90th $468 to $4,677
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $2,754.23 | Facility | None | $691.83 | $977.24 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $467.74 Median $1,412.54 Typical High $4,677.35 | Professional | None | $467.74 | $1,412.54 | $4,677.35 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,479.11 | $2,089.30 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | None | $870.96 | $870.96 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $1,659.59 | Facility | None | $616.60 | $691.83 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $977.24 Typical High $3,630.78 | Professional | None | $501.19 | $977.24 | $3,630.78 |
Fallon Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $5,888.44 | Facility | None | $1,348.96 | $1,584.89 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,348.96 | $1,584.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $467.74 Median $933.25 Typical High $1,995.26 | Professional | None | $467.74 | $933.25 | $1,995.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $2,754.23 | Facility | None | $691.83 | $977.24 | $2,754.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $467.74 Median $1,412.54 Typical High $4,677.35 | Professional | None | $467.74 | $1,412.54 | $4,677.35 |
United Setting Facility Modifier None Typical Low $851.14 Median $933.25 Typical High $1,122.02 | Facility | None | $851.14 | $933.25 | $1,122.02 |
United Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $1,778.28 | Professional | None | $371.54 | $562.34 | $1,778.28 |
Well Sense Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $2,511.89 | Facility | None | $831.76 | $1,148.15 | $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 52 · Reduced service Typical Low $575.44 Median $1,148.15 Typical High $2,570.40 | Facility | 52 · Reduced service | $575.44 | $1,148.15 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $933.25 Median $1,230.27 Typical High $1,445.44 | Facility | QW · Waived lab test | $933.25 | $1,230.27 | $1,445.44 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska 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· 8th of 51
$1,148
AK $2,089GA $562
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.