How much rates vary
Facilitymedian $1,820 · 10th to 90th $724 to $4,898Professionalmedian $724 · 10th to 90th $437 to $3,548
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 $501.19 Median $1,000.00 Typical High $2,238.72 | Facility | None | $501.19 | $1,000.00 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $2,511.89 | Facility | None | $794.33 | $1,819.70 | $2,511.89 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,513.56 Typical High $3,548.13 | Professional | None (both parts) | $436.52 | $1,513.56 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | TC · Technical part | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $537.03 Typical High $1,258.93 | Facility | None | $489.78 | $537.03 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,096.48 | Professional | None (both parts) | $870.96 | $870.96 | $1,096.48 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,202.26 Typical High $5,888.44 | Facility | None | $83.18 | $1,202.26 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $436.52 Median $724.44 Typical High $1,621.81 | Professional | None (both parts) | $436.52 | $724.44 | $1,621.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $794.33 Median $1,819.70 Typical High $2,511.89 | Facility | None | $794.33 | $1,819.70 | $2,511.89 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,513.56 Typical High $3,548.13 | Professional | None (both parts) | $436.52 | $1,513.56 | $3,548.13 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | TC · Technical part | $4,466.84 | $4,466.84 | $4,466.84 |
United Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $870.96 | Facility | None | $645.65 | $724.44 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $1,380.38 | Professional | None (both parts) | $288.40 | $436.52 | $1,380.38 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $724.44 Median $933.25 Typical High $1,122.02 | Facility | QW · Waived lab test | $724.44 | $933.25 | $1,122.02 |
Where Massachusetts sits
The same service costs 10.2 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· 23rd of 51
$724
TX $3,090AL $302
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.