How much rates vary
Facilitymedian $200 · 10th to 90th $141 to $447Professionalmedian $162 · 10th to 90th $95 to $708
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 $141.25 Median $288.40 Typical High $630.96 | Facility | None | $141.25 | $288.40 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | None | $141.25 | $141.25 | $218.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $489.78 | Facility | None | $158.49 | $389.05 | $489.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $295.12 Typical High $707.95 | Professional | None | $85.11 | $295.12 | $707.95 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $213.80 Typical High $371.54 | Professional | QW · Waived lab test | $141.25 | $213.80 | $371.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $354.81 | Facility | None | $141.25 | $199.53 | $354.81 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $251.19 | Facility | None | $95.50 | $107.15 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $549.54 | Professional | None | $91.20 | $144.54 | $549.54 |
Fallon Health Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $776.25 | Facility | None | $141.25 | $199.53 | $776.25 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $141.25 Median $186.21 Typical High $218.78 | Facility | QW · Waived lab test | $141.25 | $186.21 | $218.78 |
Fallon Health Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $251.19 | Professional | None | $162.18 | $199.53 | $251.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $389.05 | Professional | None | $85.11 | $141.25 | $389.05 |
Health New England Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $158.49 Median $389.05 Typical High $489.78 | Facility | None | $158.49 | $389.05 | $489.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $295.12 Typical High $707.95 | Professional | None | $85.11 | $295.12 | $707.95 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $141.25 Median $213.80 Typical High $371.54 | Professional | QW · Waived lab test | $141.25 | $213.80 | $371.54 |
Tufts Setting Facility Modifier None Typical Low $141.25 Median $181.97 Typical High $323.59 | Facility | None | $141.25 | $181.97 | $323.59 |
Tufts Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $229.09 | Professional | None | $141.25 | $173.78 | $229.09 |
United Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $169.82 | Facility | None | $128.82 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $338.84 | Professional | None | $75.86 | $112.20 | $338.84 |
Well Sense Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $295.12 | Facility | None | $141.25 | $199.53 | $295.12 |
Well Sense Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | None | $141.25 | $141.25 | $169.82 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Where Massachusetts sits
The same service costs 4.3 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· 13th of 51
$170
AK $295AL $69.18
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.