How much rates vary
Facilitymedian $6,918 · 10th to 90th $4,074 to $14,125Professionalmedian $5,370 · 10th to 90th $3,311 to $26,915
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 $3,890.45 Median $7,762.47 Typical High $16,982.44 | Facility | None | $3,890.45 | $7,762.47 | $16,982.44 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4,073.80 Median $6,309.57 Typical High $16,595.87 | Facility | None | $4,073.80 | $6,309.57 | $16,595.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3,311.31 Median $10,471.29 Typical High $26,915.35 | Professional | None | $3,311.31 | $10,471.29 | $26,915.35 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5,495.41 Median $6,918.31 Typical High $13,803.84 | Facility | None | $5,495.41 | $6,918.31 | $13,803.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $9,772.37 | Facility | None | $3,548.13 | $4,073.80 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $6,025.60 Typical High $21,379.62 | Professional | None | $3,090.30 | $6,025.60 | $21,379.62 |
Fallon Health Setting Facility Modifier None Typical Low $2,884.03 Median $7,762.47 Typical High $9,772.37 | Facility | None | $2,884.03 | $7,762.47 | $9,772.37 |
Fallon Health Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $9,120.11 | Professional | None | $7,762.47 | $7,762.47 | $9,120.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3,311.31 Median $5,370.32 Typical High $9,772.37 | Professional | None | $3,311.31 | $5,370.32 | $9,772.37 |
Mass General Brigham Setting Facility Modifier None Typical Low $4,073.80 Median $6,309.57 Typical High $16,595.87 | Facility | None | $4,073.80 | $6,309.57 | $16,595.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $3,311.31 Median $10,471.29 Typical High $26,915.35 | Professional | None | $3,311.31 | $10,471.29 | $26,915.35 |
United Setting Facility Modifier None Typical Low $4,897.79 Median $5,370.32 Typical High $6,456.54 | Facility | None | $4,897.79 | $5,370.32 | $6,456.54 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $10,471.29 | Professional | None | $2,187.76 | $3,311.31 | $10,471.29 |
Well Sense Setting Facility Modifier None Typical Low $4,897.79 Median $6,760.83 Typical High $10,000.00 | Facility | None | $4,897.79 | $6,760.83 | $10,000.00 |
Well Sense Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,897.79 | Professional | None | $4,073.80 | $4,073.80 | $4,897.79 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 53 · Discontinued | $776.25 | $776.25 | $776.25 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5,370.32 Median $7,079.46 Typical High $8,317.64 | Facility | QW · Waived lab test | $5,370.32 | $7,079.46 | $8,317.64 |
Where Massachusetts sits
The same service costs 6.2 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
$5,495
TX $14,125AL $2,291
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.