How much rates vary
Facilitymedian $1,349 · 10th to 90th $708 to $3,631Professionalmedian $955 · 10th to 90th $575 to $4,786
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 $660.69 Median $1,318.26 Typical High $2,951.21 | Facility | None | $660.69 | $1,318.26 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $398.11 Median $3,311.31 Typical High $4,786.30 | Professional | None (both parts) | $398.11 | $3,311.31 | $4,786.30 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | TC · Technical part | $5,888.44 | $5,888.44 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $741.31 Typical High $1,659.59 | Facility | None | $630.96 | $741.31 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $1,445.44 | Professional | None (both parts) | $549.54 | $549.54 | $1,445.44 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,584.89 Typical High $5,888.44 | Facility | None | $83.18 | $1,584.89 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,584.89 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $575.44 Median $954.99 Typical High $2,570.40 | Professional | None (both parts) | $575.44 | $954.99 | $2,570.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $398.11 Median $3,311.31 Typical High $4,786.30 | Professional | None (both parts) | $398.11 | $3,311.31 | $4,786.30 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | TC · Technical part | $5,888.44 | $5,888.44 | $5,888.44 |
United Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $1,148.15 | Facility | None | $851.14 | $954.99 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $575.44 Typical High $1,819.70 | Professional | None (both parts) | $380.19 | $575.44 | $1,819.70 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $891.25 Typical High $1,659.59 | Facility | None | $707.95 | $891.25 | $1,659.59 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $3,019.95 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $954.99 Median $1,230.27 Typical High $1,479.11 | Facility | QW · Waived lab test | $954.99 | $1,230.27 | $1,479.11 |
Where Massachusetts sits
The same service costs 8.3 times more in Texas than in Kentucky. 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· 17th of 51
$955
TX $4,786KY $575
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.