How much rates vary
Facilitymedian $251 · 10th to 90th $162 to $631Professionalmedian $209 · 10th to 90th $110 to $603
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 $151.36 Median $302.00 Typical High $676.08 | Facility | None | $151.36 | $302.00 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $269.15 | Professional | None | $151.36 | $151.36 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $575.44 | Facility | None | $162.18 | $223.87 | $575.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $109.65 Median $213.80 Typical High $645.65 | Professional | None | $109.65 | $213.80 | $645.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $489.78 Typical High $707.95 | Facility | None | $25.12 | $489.78 | $707.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $162.18 Typical High $338.84 | Facility | None | $79.43 | $162.18 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $338.84 | Professional | None | $58.88 | $83.18 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $5,888.44 | Facility | None | $223.87 | $416.87 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $416.87 | Professional | None | $354.81 | $354.81 | $416.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $109.65 Median $245.47 Typical High $630.96 | Professional | None | $109.65 | $245.47 | $630.96 |
Health New England Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $239.88 | Facility | None | $181.97 | $181.97 | $239.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $575.44 | Facility | None | $162.18 | $223.87 | $575.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $109.65 Median $213.80 Typical High $645.65 | Professional | None | $109.65 | $213.80 | $645.65 |
United Setting Facility Modifier None Typical Low $223.87 Median $245.47 Typical High $295.12 | Facility | None | $223.87 | $245.47 | $295.12 |
United Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $512.86 | Professional | None | $97.72 | $147.91 | $512.86 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $316.23 | Facility | None | $162.18 | $199.53 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | None | $162.18 | $162.18 | $194.98 |
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 $75.86 Median $75.86 Typical High $79.43 | Professional | 52 · Reduced service | $75.86 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $30.20 | $30.20 | $31.62 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $245.47 Median $323.59 Typical High $380.19 | Facility | QW · Waived lab test | $245.47 | $323.59 | $380.19 |
Where Massachusetts sits
The same service costs 7.4 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· 15th of 51
$224
AK $447GA $60.26
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.