How much rates vary
Facilitymedian $389 · 10th to 90th $234 to $933Professionalmedian $288 · 10th to 90th $110 to $832
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 $109.65 Median $218.78 Typical High $489.78 | Facility | None | $109.65 | $218.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | None | $109.65 | $109.65 | $162.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $954.99 | Facility | None | $239.88 | $338.84 | $954.99 |
AllWays Health Partners Setting Professional Modifier None Typical Low $125.89 Median $288.40 Typical High $851.14 | Professional | None | $125.89 | $288.40 | $851.14 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $158.49 Median $645.65 Typical High $933.25 | Facility | None | $158.49 | $645.65 | $933.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $309.03 | Professional | None | $147.91 | $147.91 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $524.81 | Facility | None | $158.49 | $245.47 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $389.05 Typical High $1,258.93 | Professional | None | $89.13 | $389.05 | $1,258.93 |
Fallon Health Setting Facility Modifier None Typical Low $165.96 Median $549.54 Typical High $5,888.44 | Facility | None | $165.96 | $549.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | None | $467.74 | $467.74 | $549.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $125.89 Median $323.59 Typical High $1,122.02 | Professional | None | $125.89 | $323.59 | $1,122.02 |
Health New England Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $1,230.27 | Facility | None | $389.05 | $616.60 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $954.99 | Facility | None | $239.88 | $338.84 | $954.99 |
Mass General Brigham Setting Professional Modifier None Typical Low $125.89 Median $288.40 Typical High $851.14 | Professional | None | $125.89 | $288.40 | $851.14 |
Tufts Setting Facility Modifier None Typical Low $125.89 Median $338.84 Typical High $537.03 | Facility | None | $125.89 | $338.84 | $537.03 |
United Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $389.05 | Facility | None | $295.12 | $323.59 | $389.05 |
United Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $691.83 | Professional | None | $95.50 | $162.18 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $562.34 | Facility | None | $288.40 | $363.08 | $562.34 |
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 $54.95 Median $54.95 Typical High $58.88 | Professional | 52 · Reduced service | $54.95 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $21.88 | $21.88 | $23.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $323.59 Median $426.58 Typical High $501.19 | Facility | QW · Waived lab test | $323.59 | $426.58 | $501.19 |
Where Massachusetts sits
The same service costs 8.9 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· 14th of 51
$324
AK $741AL $83.18
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.