How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,455 to $7,413Professionalmedian $2,455 · 10th to 90th $1,479 to $12,303
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 $1,698.24 Median $3,467.37 Typical High $7,585.78 | Facility | None | $1,698.24 | $3,467.37 | $7,585.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,691.53 Median $6,309.57 Typical High $8,511.38 | Facility | None | $2,691.53 | $6,309.57 | $8,511.38 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $5,128.61 Typical High $12,302.69 | Professional | None (both parts) | $1,479.11 | $5,128.61 | $12,302.69 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | TC · Technical part | $12,302.69 | $12,302.69 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,905.46 Typical High $5,128.61 | Facility | None | $1,659.59 | $1,905.46 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $3,715.35 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $3,715.35 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $5,888.44 | Facility | None | $83.18 | $3,630.78 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $4,168.69 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,454.71 Typical High $5,495.41 | Professional | None (both parts) | $1,479.11 | $2,454.71 | $5,495.41 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,691.53 Median $6,309.57 Typical High $8,511.38 | Facility | None | $2,691.53 | $6,309.57 | $8,511.38 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $5,128.61 Typical High $12,302.69 | Professional | None (both parts) | $1,479.11 | $5,128.61 | $12,302.69 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | TC · Technical part | $12,302.69 | $12,302.69 | $12,302.69 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $2,951.21 | Facility | None | $2,187.76 | $2,454.71 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,479.11 Typical High $4,677.35 | Professional | None (both parts) | $977.24 | $1,479.11 | $4,677.35 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $346.74 | $346.74 | $346.74 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2,454.71 Median $3,162.28 Typical High $3,801.89 | Facility | QW · Waived lab test | $2,454.71 | $3,162.28 | $3,801.89 |
Where Massachusetts sits
The same service costs 8.9 times more in Alaska than in Ohio. 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· 18th of 51
$2,455
AK $5,495OH $617
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.