How much rates vary
Facilitymedian $282 · 10th to 90th $151 to $617Professionalmedian $263 · 10th to 90th $138 to $1,445
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 $158.49 Median $446.68 Typical High $741.31 | Facility | None | $158.49 | $446.68 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $741.31 | Professional | None | $158.49 | $158.49 | $741.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $549.54 | Facility | None | $151.36 | $234.42 | $549.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $138.04 Median $426.58 Typical High $1,445.44 | Professional | None | $138.04 | $426.58 | $1,445.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $660.69 | Facility | None | $323.59 | $457.09 | $660.69 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | None | $162.18 | $162.18 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $281.84 Typical High $645.65 | Facility | None | $134.90 | $281.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $181.97 Typical High $676.08 | Professional | None | $104.71 | $181.97 | $676.08 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $295.12 Typical High $5,888.44 | Facility | None | $109.65 | $295.12 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $295.12 | Professional | None | $251.19 | $251.19 | $295.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $478.63 | Professional | None | $138.04 | $281.84 | $478.63 |
Health New England Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $549.54 | Facility | None | $151.36 | $234.42 | $549.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $138.04 Median $426.58 Typical High $1,445.44 | Professional | None | $138.04 | $426.58 | $1,445.44 |
United Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $208.93 | Facility | None | $154.88 | $173.78 | $208.93 |
United Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $436.52 | Professional | None | $104.71 | $173.78 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | None | $173.78 | $173.78 | $208.93 |
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 $79.43 Median $79.43 Typical High $371.54 | Professional | 52 · Reduced service | $79.43 | $79.43 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $147.91 | Professional | 53 · Discontinued | $31.62 | $31.62 | $147.91 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $173.78 Median $223.87 Typical High $269.15 | Facility | QW · Waived lab test | $173.78 | $223.87 | $269.15 |
Where Massachusetts sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 8th of 51
$282
KS $501IL $135
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.