How much rates vary
Facilitymedian $1,259 · 10th to 90th $692 to $2,692Professionalmedian $912 · 10th to 90th $550 to $4,571
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 $691.83 Median $1,258.93 Typical High $2,884.03 | Facility | None | $691.83 | $1,258.93 | $2,884.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $549.54 Median $1,380.38 Typical High $4,570.88 | Professional | None | $549.54 | $1,380.38 | $4,570.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $43.65 Median $1,148.15 Typical High $1,659.59 | Facility | None | $43.65 | $1,148.15 | $1,659.59 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $660.69 Typical High $1,479.11 | Facility | None | $602.56 | $660.69 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,047.13 Typical High $3,548.13 | Professional | None | $549.54 | $1,047.13 | $3,548.13 |
Fallon Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $5,888.44 | Facility | None | $1,318.26 | $1,548.82 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,318.26 | $1,548.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $3,019.95 | Professional | None | $457.09 | $912.01 | $3,019.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $1,258.93 Typical High $2,884.03 | Facility | None | $691.83 | $1,258.93 | $2,884.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $549.54 Median $1,380.38 Typical High $4,570.88 | Professional | None | $549.54 | $1,380.38 | $4,570.88 |
United Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $1,096.48 | Facility | None | $831.76 | $912.01 | $1,096.48 |
United Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,737.80 | Professional | None | $363.08 | $549.54 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $812.83 Median $1,122.02 Typical High $2,511.89 | Facility | None | $812.83 | $1,122.02 | $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 |
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 $912.01 Median $1,174.90 Typical High $1,412.54 | Facility | QW · Waived lab test | $912.01 | $1,174.90 | $1,412.54 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 22nd of 51
$912
AK $2,042ME $550
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.