How much rates vary
Facilitymedian $363 · 10th to 90th $229 to $891Professionalmedian $269 · 10th to 90th $78 to $1,862
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 $77.62 Median $158.49 Typical High $446.68 | Facility | None | $77.62 | $158.49 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $371.54 | Professional | None | $77.62 | $77.62 | $371.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $776.25 | Facility | None | $234.42 | $275.42 | $776.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $107.15 Median $537.03 Typical High $1,862.09 | Professional | None | $107.15 | $537.03 | $1,862.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $114.82 Median $630.96 Typical High $912.01 | Facility | None | $114.82 | $630.96 | $912.01 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $239.88 | Professional | None | $104.71 | $104.71 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $416.87 Typical High $1,000.00 | Facility | None | $208.93 | $416.87 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $281.84 Typical High $1,000.00 | Professional | None | $154.88 | $281.84 | $1,000.00 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $436.52 Typical High $5,888.44 | Facility | None | $83.18 | $436.52 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | None | $371.54 | $371.54 | $436.52 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $102.33 Median $257.04 Typical High $549.54 | Professional | None | $102.33 | $257.04 | $549.54 |
Health New England Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $112.20 | Facility | None | $107.15 | $107.15 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $234.42 Median $275.42 Typical High $776.25 | Facility | None | $234.42 | $275.42 | $776.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $107.15 Median $537.03 Typical High $1,862.09 | Professional | None | $107.15 | $537.03 | $1,862.09 |
United Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $309.03 | Facility | None | $229.09 | $257.04 | $309.03 |
United Setting Professional Modifier None Typical Low $69.18 Median $154.88 Typical High $501.19 | Professional | None | $69.18 | $154.88 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $467.74 | Facility | None | $229.09 | $316.23 | $467.74 |
Well Sense Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $323.59 | Professional | None | $269.15 | $269.15 | $323.59 |
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 $38.90 Median $38.90 Typical High $186.21 | Professional | 52 · Reduced service | $38.90 | $38.90 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $74.13 | Professional | 53 · Discontinued | $15.85 | $15.85 | $74.13 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $257.04 Median $331.13 Typical High $398.11 | Facility | QW · Waived lab test | $257.04 | $331.13 | $398.11 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 18th of 51
$309
AK $575GA $155
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.