How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,239 to $7,244Professionalmedian $3,020 · 10th to 90th $1,514 to $15,136
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,162.28 Median $7,079.46 Typical High $8,128.31 | Facility | None | $3,162.28 | $7,079.46 | $8,128.31 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $6,309.57 Typical High $15,135.61 | Professional | None (both parts) | $1,819.70 | $6,309.57 | $15,135.61 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | TC · Technical part | $18,620.87 | $18,620.87 | $18,620.87 |
BCBS Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $5,248.07 | Facility | None | $1,995.26 | $2,344.23 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,630.78 Typical High $4,570.88 | Professional | None (both parts) | $2,398.83 | $3,630.78 | $4,570.88 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $4,265.80 Typical High $5,888.44 | Facility | None | $83.18 | $4,265.80 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,265.80 Typical High $5,011.87 | Professional | None (both parts) | $4,265.80 | $4,265.80 | $5,011.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $3,019.95 Typical High $5,754.40 | Professional | None (both parts) | $1,819.70 | $3,019.95 | $5,754.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,162.28 Median $7,079.46 Typical High $8,128.31 | Facility | None | $3,162.28 | $7,079.46 | $8,128.31 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $6,309.57 Typical High $15,135.61 | Professional | None (both parts) | $1,819.70 | $6,309.57 | $15,135.61 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | TC · Technical part | $18,620.87 | $18,620.87 | $18,620.87 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,630.78 | Facility | None | $2,691.53 | $3,019.95 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,819.70 Typical High $5,754.40 | Professional | None (both parts) | $1,202.26 | $1,819.70 | $5,754.40 |
Well Sense Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $5,128.61 | Facility | None | $2,238.72 | $2,238.72 | $5,128.61 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,019.95 Median $3,890.45 Typical High $4,677.35 | Facility | QW · Waived lab test | $3,019.95 | $3,890.45 | $4,677.35 |
Where Massachusetts sits
The same service costs 25.7 times more in Texas than in Alabama. 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· 20th of 51
$3,020
TX $15,136AL $589
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.