How much rates vary
Facilitymedian $38 · 10th to 90th $24 to $93Professionalmedian $38 · 10th to 90th $14 to $195
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 $25.12 Median $50.12 Typical High $112.20 | Facility | None | $25.12 | $50.12 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $102.33 | Professional | None | $25.12 | $25.12 | $102.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $23.99 Median $32.36 Typical High $74.13 | Facility | None | $23.99 | $32.36 | $74.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.85 Median $67.61 Typical High $194.98 | Professional | None | $15.85 | $67.61 | $194.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $104.71 | Facility | None | $52.48 | $74.13 | $104.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $33.88 | Professional | None | $25.12 | $25.70 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $44.67 Typical High $102.33 | Facility | None | $21.38 | $44.67 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $19.50 | Professional | None | $14.13 | $14.13 | $19.50 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $44.67 Typical High $5,888.44 | Facility | None | $29.51 | $44.67 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.85 Median $38.02 Typical High $66.07 | Professional | None | $15.85 | $38.02 | $66.07 |
Health New England Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $57.54 | Facility | None | $33.88 | $33.88 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $23.99 Median $32.36 Typical High $74.13 | Facility | None | $23.99 | $32.36 | $74.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.85 Median $67.61 Typical High $194.98 | Professional | None | $15.85 | $67.61 | $194.98 |
Tufts Setting Facility Modifier None Typical Low $26.30 Median $33.11 Typical High $60.26 | Facility | None | $26.30 | $33.11 | $60.26 |
Tufts Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $42.66 | Professional | None | $29.51 | $29.51 | $42.66 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.30 Typical High $31.62 | Facility | None | $23.99 | $26.30 | $31.62 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $53.70 | Professional | None | $10.72 | $15.85 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $23.44 Median $32.36 Typical High $47.86 | Facility | None | $23.44 | $32.36 | $47.86 |
Well Sense Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | None | $31.62 | $31.62 | $38.02 |
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 $12.59 Median $12.59 Typical High $51.29 | Professional | 52 · Reduced service | $12.59 | $12.59 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $20.42 | Professional | 53 · Discontinued | $5.01 | $5.01 | $20.42 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $26.30 Median $34.67 Typical High $40.74 | Facility | QW · Waived lab test | $26.30 | $34.67 | $40.74 |
Where Massachusetts sits
The same service costs 5.6 times more in Alaska than in Delaware. 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· 9th of 51
$38.02
AK $89.13DE $15.85
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.