How much rates vary
Facilitymedian $1,549 · 10th to 90th $603 to $4,898Professionalmedian $603 · 10th to 90th $363 to $3,020
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 $426.58 Median $851.14 Typical High $1,905.46 | Facility | None | $426.58 | $851.14 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,548.82 Typical High $2,089.30 | Facility | None | $676.08 | $1,548.82 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,288.25 Typical High $3,019.95 | Professional | None (both parts) | $363.08 | $1,288.25 | $3,019.95 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $1,288.25 | Facility | None | $407.38 | $478.63 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $741.31 | $741.31 | $933.25 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,023.29 Typical High $5,888.44 | Facility | None | $83.18 | $1,023.29 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,023.29 | Professional | None (both parts) | $870.96 | $870.96 | $1,023.29 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $1,148.15 | Professional | None (both parts) | $363.08 | $602.56 | $1,148.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $676.08 Median $1,548.82 Typical High $2,089.30 | Facility | None | $676.08 | $1,548.82 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $363.08 Median $1,288.25 Typical High $3,019.95 | Professional | None (both parts) | $363.08 | $1,288.25 | $3,019.95 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
United Setting Facility Modifier None Typical Low $549.54 Median $602.56 Typical High $724.44 | Facility | None | $549.54 | $602.56 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $363.08 Typical High $1,148.15 | Professional | None (both parts) | $245.47 | $363.08 | $1,148.15 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $5,128.61 | Facility | None | $2,511.89 | $3,467.37 | $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 $213.80 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $85.11 | $85.11 | $85.11 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $602.56 Median $794.33 Typical High $933.25 | Facility | QW · Waived lab test | $602.56 | $794.33 | $933.25 |
Where Massachusetts sits
The same service costs 47.9 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· 12th of 51
$603
TX $3,020AL $63.10
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.