How much rates vary
Facilitymedian $55 · 10th to 90th $34 to $135Professionalmedian $39 · 10th to 90th $23 to $102
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 $37.15 Median $74.13 Typical High $173.78 | Facility | None | $37.15 | $74.13 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $53.70 | Professional | None | $37.15 | $37.15 | $53.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $123.03 | Facility | None | $28.84 | $42.66 | $123.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $97.72 | Professional | None | $22.91 | $38.90 | $97.72 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $54.95 Median $95.50 Typical High $165.96 | Facility | None | $54.95 | $95.50 | $165.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $48.98 | Professional | None | $36.31 | $38.02 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $54.95 Typical High $100.00 | Facility | None | $26.92 | $54.95 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $151.36 | Professional | None | $26.30 | $46.77 | $151.36 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $4,897.79 | Facility | None | $44.67 | $64.57 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $151.36 | Professional | None | $19.50 | $38.90 | $151.36 |
Health New England Setting Facility Modifier None Typical Low $44.67 Median $79.43 Typical High $194.98 | Facility | None | $44.67 | $79.43 | $194.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $123.03 | Facility | None | $28.84 | $42.66 | $123.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $97.72 | Professional | None | $22.91 | $38.90 | $97.72 |
Tufts Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $61.66 | Professional | None | $33.88 | $39.81 | $61.66 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $104.71 | Facility | None | $38.90 | $38.90 | $104.71 |
United Setting Professional Modifier None Typical Low $15.49 Median $29.51 Typical High $81.28 | Professional | None | $15.49 | $29.51 | $81.28 |
Well Sense Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $67.61 | Facility | None | $33.88 | $42.66 | $67.61 |
Well Sense Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None | $40.74 | $40.74 | $47.86 |
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 $18.20 Median $18.20 Typical High $21.88 | Professional | 52 · Reduced service | $18.20 | $18.20 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $8.71 | Professional | 53 · Discontinued | $7.41 | $7.41 | $8.71 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $38.90 Median $50.12 Typical High $60.26 | Facility | QW · Waived lab test | $38.90 | $50.12 | $60.26 |
Where Massachusetts sits
The same service costs 4.7 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· 24th of 51
$44.67
AK $87.10AL $18.62
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.