How much rates vary
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 $144.54 Median $288.40 Typical High $645.65 | Facility | None | $144.54 | $288.40 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $123.03 Median $1,023.29 Typical High $2,398.83 | Professional | None (both parts) | $123.03 | $1,023.29 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $346.74 Typical High $851.14 | Facility | None | $131.83 | $346.74 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $741.31 | Professional | None (both parts) | $588.84 | $588.84 | $741.31 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $812.83 Typical High $5,888.44 | Facility | None | $83.18 | $812.83 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $812.83 | Professional | None (both parts) | $691.83 | $691.83 | $812.83 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $123.03 Median $478.63 Typical High $1,000.00 | Professional | None (both parts) | $123.03 | $478.63 | $1,000.00 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $123.03 Median $1,023.29 Typical High $2,398.83 | Professional | None (both parts) | $123.03 | $1,023.29 | $2,398.83 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
United Setting Facility Modifier None Typical Low $436.52 Median $478.63 Typical High $575.44 | Facility | None | $436.52 | $478.63 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $123.03 Typical High $562.34 | Professional | None (both parts) | $83.18 | $123.03 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,786.30 | Facility | None | $2,511.89 | $2,511.89 | $4,786.30 |
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 |
1 more rate 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 |
|---|---|---|---|---|---|
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $478.63 Median $630.96 Typical High $741.31 | Facility | QW · Waived lab test | $478.63 | $630.96 | $741.31 |
Where Massachusetts sits
The same service costs 19.5 times more in Texas than in New Mexico. 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· 13th of 51
$479
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.