How much rates vary
Facilitymedian $603 · 10th to 90th $380 to $1,479Professionalmedian $417 · 10th to 90th $174 to $2,089
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 $204.17 Median $407.38 Typical High $912.01 | Facility | None | $204.17 | $407.38 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $478.63 | Professional | None | $204.17 | $204.17 | $478.63 |
AllWays Health Partners Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,230.27 | Facility | None | $380.19 | $588.84 | $1,230.27 |
AllWays Health Partners Setting Professional Modifier None Typical Low $173.78 Median $794.33 Typical High $2,089.30 | Professional | None | $173.78 | $794.33 | $2,089.30 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,659.59 | Facility | None | $812.83 | $1,148.15 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $616.60 Typical High $870.96 | Facility | None | $323.59 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $501.19 Typical High $1,621.81 | Professional | None | $251.19 | $501.19 | $1,621.81 |
Fallon Health Setting Facility Modifier None Typical Low $151.36 Median $707.95 Typical High $5,888.44 | Facility | None | $151.36 | $707.95 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $173.78 Median $416.87 Typical High $891.25 | Professional | None | $173.78 | $416.87 | $891.25 |
Health New England Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $537.03 | Facility | None | $275.42 | $478.63 | $537.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,230.27 | Facility | None | $380.19 | $588.84 | $1,230.27 |
Mass General Brigham Setting Professional Modifier None Typical Low $173.78 Median $794.33 Typical High $2,089.30 | Professional | None | $173.78 | $794.33 | $2,089.30 |
Tufts Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $660.69 | Professional | None | $457.09 | $457.09 | $660.69 |
United Setting Facility Modifier None Typical Low $371.54 Median $416.87 Typical High $501.19 | Facility | None | $371.54 | $416.87 | $501.19 |
United Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $794.33 | Professional | None | $165.96 | $251.19 | $794.33 |
Well Sense Setting Facility Modifier None Typical Low $371.54 Median $512.86 Typical High $758.58 | Facility | None | $371.54 | $512.86 | $758.58 |
Well Sense Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | None | $213.80 | $213.80 | $257.04 |
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 $102.33 Median $102.33 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $40.74 | $40.74 | $46.77 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $416.87 Median $537.03 Typical High $645.65 | Facility | QW · Waived lab test | $416.87 | $537.03 | $645.65 |
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· 22nd of 51
$457
AK $933AL $174
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.