How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,399 to $9,550Professionalmedian $3,236 · 10th to 90th $1,698 to $16,218
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 $1,995.26 Median $3,981.07 Typical High $8,912.51 | Facility | None | $1,995.26 | $3,981.07 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $10,000.00 | Facility | None | $2,398.83 | $3,715.35 | $10,000.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,698.24 Median $6,165.95 Typical High $16,218.10 | Professional | None | $1,698.24 | $6,165.95 | $16,218.10 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,801.89 Median $6,456.54 Typical High $11,481.54 | Facility | None | $3,801.89 | $6,456.54 | $11,481.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $6,309.57 | Facility | None | $2,089.30 | $2,511.89 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $3,388.44 Typical High $12,589.25 | Professional | None | $1,949.84 | $3,388.44 | $12,589.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $4,677.35 Typical High $5,888.44 | Facility | None | $83.18 | $4,677.35 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,495.41 | Professional | None | $4,677.35 | $4,677.35 | $5,495.41 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,698.24 Median $3,235.94 Typical High $7,244.36 | Professional | None | $1,698.24 | $3,235.94 | $7,244.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,398.83 Median $3,715.35 Typical High $10,000.00 | Facility | None | $2,398.83 | $3,715.35 | $10,000.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,698.24 Median $6,165.95 Typical High $16,218.10 | Professional | None | $1,698.24 | $6,165.95 | $16,218.10 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $3,890.45 | Facility | None | $2,884.03 | $3,235.94 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $6,165.95 | Professional | None | $1,288.25 | $1,949.84 | $6,165.95 |
Well Sense Setting Facility Modifier None Typical Low $2,884.03 Median $3,981.07 Typical High $5,888.44 | Facility | None | $2,884.03 | $3,981.07 | $5,888.44 |
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $398.11 | $398.11 | $398.11 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,235.94 Median $4,168.69 Typical High $5,011.87 | Facility | QW · Waived lab test | $3,235.94 | $4,168.69 | $5,011.87 |
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· 19th of 51
$3,236
AK $7,244AL $1,349
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.