How much rates vary
Facilitymedian $355 · 10th to 90th $195 to $776Professionalmedian $288 · 10th to 90th $158 to $1,318
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 $186.21 Median $371.54 Typical High $812.83 | Facility | None | $186.21 | $371.54 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | None | $186.21 | $186.21 | $239.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $812.83 | Facility | None | $194.98 | $302.00 | $812.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $158.49 Median $501.19 Typical High $1,318.26 | Professional | None | $158.49 | $501.19 | $1,318.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $426.58 Median $602.56 Typical High $851.14 | Facility | None | $426.58 | $602.56 | $851.14 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $194.98 Typical High $467.74 | Facility | None | $169.82 | $194.98 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $1,023.29 | Professional | None | $147.91 | $288.40 | $1,023.29 |
Fallon Health Setting Facility Modifier None Typical Low $275.42 Median $371.54 Typical High $1,513.56 | Facility | None | $275.42 | $371.54 | $1,513.56 |
Fallon Health Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $467.74 | Professional | None | $302.00 | $371.54 | $467.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $501.19 | Professional | None | $158.49 | $263.03 | $501.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $812.83 | Facility | None | $194.98 | $302.00 | $812.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $158.49 Median $501.19 Typical High $1,318.26 | Professional | None | $158.49 | $501.19 | $1,318.26 |
Tufts Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $436.52 | Facility | None | $213.80 | $295.12 | $436.52 |
United Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $316.23 | Facility | None | $234.42 | $263.03 | $316.23 |
United Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $501.19 | Professional | None | $104.71 | $158.49 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $478.63 | Facility | None | $234.42 | $323.59 | $478.63 |
Well Sense Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | None | $194.98 | $194.98 | $234.42 |
5 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 $91.20 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $37.15 | $37.15 | $37.15 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $263.03 Median $549.54 Typical High $691.83 | Professional | QW · Waived lab test | $263.03 | $549.54 | $691.83 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $263.03 Median $338.84 Typical High $407.38 | Facility | QW · Waived lab test | $263.03 | $338.84 | $407.38 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $263.03 Median $549.54 Typical High $691.83 | Professional | QW · Waived lab test | $263.03 | $549.54 | $691.83 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 10th of 51
$316
AK $589DE $158
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.