How much rates vary
Facilitymedian $4,467 · 10th to 90th $2,630 to $10,000Professionalmedian $3,631 · 10th to 90th $2,138 to $17,783
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 $2,511.89 Median $5,011.87 Typical High $11,220.18 | Facility | None | $2,511.89 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $10,964.78 | Facility | None | $2,630.27 | $4,073.80 | $10,964.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,137.96 Median $6,918.31 Typical High $17,782.79 | Professional | None | $2,137.96 | $6,918.31 | $17,782.79 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,630.78 Median $4,466.84 Typical High $8,912.51 | Facility | None | $3,630.78 | $4,466.84 | $8,912.51 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,388.44 | $3,388.44 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $6,309.57 | Facility | None | $2,290.87 | $2,630.27 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,890.45 Typical High $14,125.38 | Professional | None | $1,995.26 | $3,890.45 | $14,125.38 |
Fallon Health Setting Facility Modifier None Typical Low $1,905.46 Median $5,128.61 Typical High $9,772.37 | Facility | None | $1,905.46 | $5,128.61 | $9,772.37 |
Fallon Health Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $6,025.60 | Professional | None | $5,128.61 | $5,128.61 | $6,025.60 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,137.96 Median $3,630.78 Typical High $7,762.47 | Professional | None | $2,137.96 | $3,630.78 | $7,762.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $10,964.78 | Facility | None | $2,630.27 | $4,073.80 | $10,964.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,137.96 Median $6,918.31 Typical High $17,782.79 | Professional | None | $2,137.96 | $6,918.31 | $17,782.79 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $4,365.16 | Facility | None | $3,235.94 | $3,630.78 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $6,918.31 | Professional | None | $1,445.44 | $2,137.96 | $6,918.31 |
Well Sense Setting Facility Modifier None Typical Low $3,162.28 Median $4,365.16 Typical High $6,456.54 | Facility | None | $3,162.28 | $4,365.16 | $6,456.54 |
Well Sense Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,235.94 | Professional | None | $2,691.53 | $2,691.53 | $3,235.94 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,630.78 Median $4,677.35 Typical High $5,623.41 | Facility | QW · Waived lab test | $3,630.78 | $4,677.35 | $5,623.41 |
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· 23rd of 51
$3,631
AK $8,128AL $1,514
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.