How much rates vary
Facilitymedian $4,898 · 10th to 90th $2,754 to $9,333Professionalmedian $3,631 · 10th to 90th $1,738 to $18,621
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 $2,041.74 Median $4,073.80 Typical High $9,120.11 | Facility | None | $2,041.74 | $4,073.80 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $4,365.16 | Facility | None | $2,754.23 | $3,019.95 | $4,365.16 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,584.89 Median $12,882.50 Typical High $18,620.87 | Professional | None | $1,584.89 | $12,882.50 | $18,620.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,466.84 Median $7,413.10 Typical High $13,489.63 | Facility | None | $4,466.84 | $7,413.10 | $13,489.63 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $7,244.36 | Facility | None | $2,137.96 | $2,951.21 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $3,981.07 Typical High $14,454.40 | Professional | None | $2,238.72 | $3,981.07 | $14,454.40 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $5,370.32 Typical High $6,309.57 | Facility | None | $83.18 | $5,370.32 | $6,309.57 |
Fallon Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,309.57 | Professional | None | $5,370.32 | $5,370.32 | $6,309.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,737.80 Median $3,715.35 Typical High $8,317.64 | Professional | None | $1,737.80 | $3,715.35 | $8,317.64 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $4,365.16 | Facility | None | $2,754.23 | $3,019.95 | $4,365.16 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,584.89 Median $12,882.50 Typical High $18,620.87 | Professional | None | $1,584.89 | $12,882.50 | $18,620.87 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $4,466.84 | Facility | None | $3,388.44 | $3,715.35 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $7,079.46 | Professional | None | $1,513.56 | $2,238.72 | $7,079.46 |
Well Sense Setting Facility Modifier None Typical Low $3,311.31 Median $4,570.88 Typical High $6,760.83 | Facility | None | $3,311.31 | $4,570.88 | $6,760.83 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,715.35 Median $4,897.79 Typical High $5,754.40 | Facility | QW · Waived lab test | $3,715.35 | $4,897.79 | $5,754.40 |
Where Massachusetts sits
The same service costs 6.5 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· 17th of 51
$3,715
TX $10,233AL $1,585
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.