How much rates vary
Facilitymedian $123 · 10th to 90th $78 to $302Professionalmedian $85 · 10th to 90th $47 to $741
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 $53.70 Median $107.15 Typical High $251.19 | Facility | None | $53.70 | $107.15 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $194.98 | Professional | None | $53.70 | $53.70 | $194.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $120.23 Typical High $263.03 | Facility | None | $77.62 | $120.23 | $263.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $46.77 Median $177.83 Typical High $741.31 | Professional | None | $46.77 | $177.83 | $741.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $234.42 Typical High $338.84 | Facility | None | $165.96 | $234.42 | $338.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | None | $72.44 | $72.44 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $138.04 Typical High $331.13 | Facility | None | $67.61 | $138.04 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $331.13 | Professional | None | $51.29 | $93.33 | $331.13 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $144.54 Typical High $5,888.44 | Facility | None | $83.18 | $144.54 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | None | $123.03 | $123.03 | $144.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $213.80 | Professional | None | $46.77 | $85.11 | $213.80 |
Health New England Setting Facility Modifier None Typical Low $77.62 Median $239.88 Typical High $281.84 | Facility | None | $77.62 | $239.88 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $120.23 Typical High $263.03 | Facility | None | $77.62 | $120.23 | $263.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $46.77 Median $177.83 Typical High $741.31 | Professional | None | $46.77 | $177.83 | $741.31 |
Tufts Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $138.04 | Facility | None | $61.66 | $87.10 | $138.04 |
Tufts Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | None | $93.33 | $93.33 | $134.90 |
United Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $102.33 | Facility | None | $75.86 | $85.11 | $102.33 |
United Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $162.18 | Professional | None | $33.88 | $51.29 | $162.18 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $104.71 Typical High $154.88 | Facility | None | $75.86 | $104.71 | $154.88 |
Well Sense Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | None | $58.88 | $58.88 | $70.79 |
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 $26.92 Median $26.92 Typical High $125.89 | Professional | 52 · Reduced service | $26.92 | $26.92 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $50.12 | Professional | 53 · Discontinued | $10.72 | $10.72 | $50.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $85.11 Median $109.65 Typical High $131.83 | Facility | QW · Waived lab test | $85.11 | $109.65 | $131.83 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 23rd of 51
$95.50
AK $191NJ $63.10
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.