How much rates vary
Facilitymedian $200 · 10th to 90th $105 to $437Professionalmedian $141 · 10th to 90th $85 to $708
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 $100.00 Median $199.53 Typical High $446.68 | Facility | None | $100.00 | $199.53 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | None | $100.00 | $100.00 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $436.52 | Facility | None | $104.71 | $162.18 | $436.52 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $269.15 Typical High $707.95 | Professional | None | $85.11 | $269.15 | $707.95 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $323.59 Typical High $467.74 | Facility | None | $229.09 | $323.59 | $467.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $104.71 Typical High $251.19 | Facility | None | $91.20 | $104.71 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $549.54 | Professional | None | $79.43 | $154.88 | $549.54 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $239.88 Typical High $5,888.44 | Facility | None | $83.18 | $239.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None | $204.17 | $204.17 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $288.40 | Professional | None | $85.11 | $141.25 | $288.40 |
Health New England Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $275.42 | Facility | None | $158.49 | $257.04 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $436.52 | Facility | None | $104.71 | $162.18 | $436.52 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $269.15 Typical High $707.95 | Professional | None | $85.11 | $269.15 | $707.95 |
Tufts Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $251.19 | Facility | None | $117.49 | $154.88 | $251.19 |
Tufts Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $229.09 | Professional | None | $158.49 | $158.49 | $229.09 |
United Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $169.82 | Facility | None | $128.82 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $269.15 | Professional | None | $57.54 | $85.11 | $269.15 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Facility | None | $125.89 | $173.78 | $257.04 |
Well Sense Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | None | $107.15 | $107.15 | $128.82 |
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 $50.12 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $141.25 Median $186.21 Typical High $218.78 | Facility | QW · Waived lab test | $141.25 | $186.21 | $218.78 |
Where Massachusetts sits
The same service costs 5.1 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· 14th of 51
$151
AK $324AL $63.10
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.