How much rates vary
Facilitymedian $72 · 10th to 90th $51 to $155Professionalmedian $56 · 10th to 90th $31 to $257
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 $51.29 Median $51.29 Typical High $229.09 | Facility | None | $51.29 | $51.29 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $162.18 | Facility | None | $51.29 | $79.43 | $162.18 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $30.90 Median $77.62 Typical High $257.04 | Professional | None (both parts) | $30.90 | $77.62 | $257.04 |
AllWays Health Partners Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $75.86 Typical High $134.90 | Professional | QW · Waived lab test | $51.29 | $75.86 | $134.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $128.82 | Facility | None | $51.29 | $72.44 | $128.82 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $51.29 Median $87.10 Typical High $117.49 | Professional | None (both parts) | $51.29 | $87.10 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $91.20 | Facility | None | $34.67 | $38.90 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $51.29 | $51.29 | $64.57 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $281.84 | Facility | None | $56.23 | $72.44 | $281.84 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $51.29 Median $66.07 Typical High $79.43 | Facility | QW · Waived lab test | $51.29 | $66.07 | $79.43 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $58.88 | $72.44 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $30.90 Median $51.29 Typical High $117.49 | Professional | None (both parts) | $30.90 | $51.29 | $117.49 |
Health New England Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $109.65 | Facility | None | $54.95 | $54.95 | $109.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $162.18 | Facility | None | $51.29 | $79.43 | $162.18 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $30.90 Median $77.62 Typical High $257.04 | Professional | None (both parts) | $30.90 | $77.62 | $257.04 |
Mass General Brigham Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $75.86 Typical High $134.90 | Professional | QW · Waived lab test | $51.29 | $75.86 | $134.90 |
Tufts Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $120.23 | Facility | None | $51.29 | $64.57 | $120.23 |
United Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $61.66 | Facility | None | $45.71 | $51.29 | $61.66 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.90 Typical High $97.72 | Professional | None (both parts) | $20.42 | $30.90 | $97.72 |
Well Sense Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $104.71 | Facility | None | $51.29 | $70.79 | $104.71 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $51.29 | $51.29 | $61.66 |
5 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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Where Massachusetts sits
The same service costs 3.1 times more in Alaska than in Maine. 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
$61.66
AK $102ME $33.11
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.