How much rates vary
Facilitymedian $100 · 10th to 90th $65 to $240Professionalmedian $81 · 10th to 90th $42 to $355
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 $60.26 Median $120.23 Typical High $269.15 | Facility | None | $60.26 | $120.23 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $93.33 | Professional | None | $60.26 | $60.26 | $93.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $213.80 | Facility | None | $64.57 | $100.00 | $213.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $41.69 Median $134.90 Typical High $354.81 | Professional | None | $41.69 | $134.90 | $354.81 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $61.66 Median $97.72 Typical High $186.21 | Professional | QW · Waived lab test | $61.66 | $97.72 | $186.21 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $309.03 | Facility | None | $102.33 | $173.78 | $309.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | None | $66.07 | $66.07 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $67.61 Typical High $147.91 | Facility | None | $54.95 | $67.61 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $275.42 | Professional | None | $46.77 | $67.61 | $275.42 |
Fallon Health Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $501.19 | Facility | None | $77.62 | $97.72 | $501.19 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $70.79 Median $91.20 Typical High $109.65 | Facility | QW · Waived lab test | $70.79 | $91.20 | $109.65 |
Fallon Health Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $123.03 | Professional | None | $81.28 | $97.72 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $194.98 | Professional | None | $41.69 | $70.79 | $194.98 |
Health New England Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $213.80 | Facility | None | $64.57 | $100.00 | $213.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $41.69 Median $134.90 Typical High $354.81 | Professional | None | $41.69 | $134.90 | $354.81 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $61.66 Median $97.72 Typical High $186.21 | Professional | QW · Waived lab test | $61.66 | $97.72 | $186.21 |
United Setting Facility Modifier None Typical Low $63.10 Median $70.79 Typical High $85.11 | Facility | None | $63.10 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $28.18 Median $41.69 Typical High $134.90 | Professional | None | $28.18 | $41.69 | $134.90 |
Well Sense Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $125.89 | Facility | None | $61.66 | $85.11 | $125.89 |
Well Sense Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
2 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 $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Where Massachusetts sits
The same service costs 4.0 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
$85.11
AK $158AL $39.81
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.