How much rates vary
Facilitymedian $4,169 · 10th to 90th $2,291 to $7,762Professionalmedian $3,090 · 10th to 90th $1,259 to $15,488
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 $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,511.89 | $3,630.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,548.82 Median $10,715.19 Typical High $15,488.17 | Professional | None | $1,548.82 | $10,715.19 | $15,488.17 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,897.79 Median $6,918.31 Typical High $10,000.00 | Facility | None | $4,897.79 | $6,918.31 | $10,000.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $6,025.60 | Facility | None | $2,041.74 | $2,570.40 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $12,022.64 | Professional | None | $1,862.09 | $3,311.31 | $12,022.64 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $4,466.84 Typical High $5,888.44 | Facility | None | $83.18 | $4,466.84 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,248.07 | Professional | None | $4,466.84 | $4,466.84 | $5,248.07 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,862.09 Median $3,090.30 Typical High $6,918.31 | Professional | None | $1,862.09 | $3,090.30 | $6,918.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,290.87 Median $2,511.89 Typical High $3,630.78 | Facility | None | $2,290.87 | $2,511.89 | $3,630.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,548.82 Median $10,715.19 Typical High $15,488.17 | Professional | None | $1,548.82 | $10,715.19 | $15,488.17 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $3,715.35 | Facility | None | $2,818.38 | $3,090.30 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $5,888.44 | Professional | None | $1,258.93 | $1,862.09 | $5,888.44 |
Well Sense Setting Facility Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $5,623.41 | Facility | None | $2,754.23 | $3,801.89 | $5,623.41 |
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 $64.57 Median $128.82 Typical High $288.40 | Facility | 53 · Discontinued | $64.57 | $128.82 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $64.57 | $64.57 | $64.57 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,090.30 Median $4,073.80 Typical High $4,786.30 | Facility | QW · Waived lab test | $3,090.30 | $4,073.80 | $4,786.30 |
Where Massachusetts sits
The same service costs 6.0 times more in Texas 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
$3,090
TX $7,943AL $1,318
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.