How much rates vary
Facilitymedian $5,495 · 10th to 90th $2,884 to $10,965Professionalmedian $3,890 · 10th to 90th $2,344 to $19,498
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $11,748.98 | Facility | None | $2,884.03 | $4,466.84 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $7,413.10 Typical High $19,498.45 | Professional | None | $2,344.23 | $7,413.10 | $19,498.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $436.52 Median $7,762.47 Typical High $10,964.78 | Facility | None | $436.52 | $7,762.47 | $10,964.78 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,786.30 Typical High $7,585.78 | Facility | None | $2,511.89 | $4,786.30 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $4,073.80 Typical High $15,135.61 | Professional | None | $2,344.23 | $4,073.80 | $15,135.61 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $5,495.41 Typical High $6,456.54 | Facility | None | $83.18 | $5,495.41 | $6,456.54 |
Fallon Health Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,456.54 | Professional | None | $5,495.41 | $5,495.41 | $6,456.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,344.23 Median $3,890.45 Typical High $9,120.11 | Professional | None | $2,344.23 | $3,890.45 | $9,120.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $11,748.98 | Facility | None | $2,884.03 | $4,466.84 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,344.23 Median $7,413.10 Typical High $19,498.45 | Professional | None | $2,344.23 | $7,413.10 | $19,498.45 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,890.45 Typical High $4,677.35 | Facility | None | $3,467.37 | $3,890.45 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,344.23 Typical High $7,413.10 | Professional | None | $1,548.82 | $2,344.23 | $7,413.10 |
Well Sense Setting Facility Modifier None Typical Low $3,388.44 Median $4,677.35 Typical High $7,079.46 | Facility | None | $3,388.44 | $4,677.35 | $7,079.46 |
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 $575.44 Median $1,148.15 Typical High $2,570.40 | Facility | 53 · Discontinued | $575.44 | $1,148.15 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,890.45 Median $5,011.87 Typical High $6,025.60 | Facility | QW · Waived lab test | $3,890.45 | $5,011.87 | $6,025.60 |
Where Massachusetts sits
The same service costs 5.4 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· 19th of 51
$3,890
AK $8,710AL $1,622
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.