How much rates vary
Facilitymedian $234 · 10th to 90th $129 to $501Professionalmedian $245 · 10th to 90th $85 to $1,230
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 $83.18 Median $234.42 Typical High $398.11 | Facility | None | $83.18 | $234.42 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $398.11 | Professional | None | $83.18 | $83.18 | $398.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $426.58 | Facility | None | $128.82 | $199.53 | $426.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $85.11 Median $371.54 Typical High $1,230.27 | Professional | None | $85.11 | $371.54 | $1,230.27 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $549.54 | Facility | None | $275.42 | $389.05 | $549.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None | $112.20 | $112.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $549.54 | Facility | None | $112.20 | $223.87 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $213.80 Typical High $549.54 | Professional | None | $85.11 | $213.80 | $549.54 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $234.42 Typical High $5,888.44 | Facility | None | $83.18 | $234.42 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | None | $199.53 | $199.53 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $85.11 Median $245.47 Typical High $363.08 | Professional | None | $85.11 | $245.47 | $363.08 |
Health New England Setting Facility Modifier None Typical Low $128.82 Median $407.38 Typical High $446.68 | Facility | None | $128.82 | $407.38 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $426.58 | Facility | None | $128.82 | $199.53 | $426.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $85.11 Median $371.54 Typical High $1,230.27 | Professional | None | $85.11 | $371.54 | $1,230.27 |
United Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $169.82 | Facility | None | $125.89 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $354.81 | Professional | None | $74.13 | $141.25 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $169.82 Typical High $257.04 | Facility | None | $123.03 | $169.82 | $257.04 |
Well Sense Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | None | $91.20 | $91.20 | $109.65 |
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 $41.69 Median $41.69 Typical High $194.98 | Professional | 52 · Reduced service | $41.69 | $41.69 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $79.43 | Professional | 53 · Discontinued | $16.60 | $16.60 | $79.43 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $141.25 Median $181.97 Typical High $218.78 | Facility | QW · Waived lab test | $141.25 | $181.97 | $218.78 |
Where Massachusetts sits
The same service costs 6.0 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· 11th of 51
$240
AK $389AL $64.57
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.