How much rates vary
Facilitymedian $5,129 · 10th to 90th $2,884 to $10,000Professionalmedian $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 Facility Modifier None Typical Low $2,691.53 Median $5,370.32 Typical High $12,022.64 | Facility | None | $2,691.53 | $5,370.32 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,884.03 Median $3,162.28 Typical High $4,466.84 | Facility | None | $2,884.03 | $3,162.28 | $4,466.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,621.81 Median $15,135.61 Typical High $19,498.45 | Professional | None | $1,621.81 | $15,135.61 | $19,498.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6,165.95 Median $8,709.64 Typical High $12,302.69 | Facility | None | $6,165.95 | $8,709.64 | $12,302.69 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $3,019.95 Typical High $7,585.78 | Facility | None | $2,511.89 | $3,019.95 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $4,168.69 Typical High $15,135.61 | Professional | None | $2,089.30 | $4,168.69 | $15,135.61 |
Fallon Health Setting Facility Modifier None Typical Low $2,041.74 Median $5,495.41 Typical High $9,772.37 | Facility | None | $2,041.74 | $5,495.41 | $9,772.37 |
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 $10,000.00 | Professional | None | $2,344.23 | $3,890.45 | $10,000.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,884.03 Median $3,162.28 Typical High $4,466.84 | Facility | None | $2,884.03 | $3,162.28 | $4,466.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,621.81 Median $15,135.61 Typical High $19,498.45 | Professional | None | $1,621.81 | $15,135.61 | $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 $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None | $2,884.03 | $2,884.03 | $3,467.37 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $537.03 | $537.03 | $537.03 |
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· 21st 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.