How much rates vary
Facilitymedian $155 · 10th to 90th $91 to $398Professionalmedian $120 · 10th to 90th $66 to $380
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 $85.11 Median $173.78 Typical High $380.19 | Facility | None | $85.11 | $173.78 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $169.82 | Professional | None | $85.11 | $85.11 | $169.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $363.08 | Facility | None | $91.20 | $141.25 | $363.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $63.10 Median $123.03 Typical High $407.38 | Professional | None | $63.10 | $123.03 | $407.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $309.03 Typical High $446.68 | Facility | None | $25.12 | $309.03 | $446.68 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $154.88 | Professional | None | $123.03 | $147.91 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $112.20 Typical High $218.78 | Facility | None | $102.33 | $112.20 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $114.82 Typical High $218.78 | Professional | None | $58.88 | $114.82 | $218.78 |
Fallon Health Setting Facility Modifier None Typical Low $128.82 Median $263.03 Typical High $5,888.44 | Facility | None | $128.82 | $263.03 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | None | $223.87 | $223.87 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $63.10 Median $141.25 Typical High $398.11 | Professional | None | $63.10 | $141.25 | $398.11 |
Health New England Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $234.42 | Facility | None | $114.82 | $151.36 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $363.08 | Facility | None | $91.20 | $141.25 | $363.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $63.10 Median $123.03 Typical High $407.38 | Professional | None | $63.10 | $123.03 | $407.38 |
Tufts Setting Facility Modifier None Typical Low $91.20 Median $186.21 Typical High $257.04 | Facility | None | $91.20 | $186.21 | $257.04 |
Tufts Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $251.19 | Professional | None | $91.20 | $91.20 | $251.19 |
United Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $186.21 | Facility | None | $141.25 | $154.88 | $186.21 |
United Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $331.13 | Professional | None | $63.10 | $93.33 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $181.97 | Facility | None | $91.20 | $114.82 | $181.97 |
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 $42.66 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $18.20 | Professional | 53 · Discontinued | $17.38 | $17.38 | $18.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $154.88 Median $204.17 Typical High $245.47 | Facility | QW · Waived lab test | $154.88 | $204.17 | $245.47 |
Where Massachusetts sits
The same service costs 5.4 times more in Wyoming 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· 21st of 51
$138
WY $245GA $45.71
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.