How much rates vary
Facilitymedian $324 · 10th to 90th $148 to $3,802Professionalmedian $135 · 10th to 90th $81 to $661
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 $93.33 Median $186.21 Typical High $416.87 | Facility | None | $93.33 | $186.21 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $147.91 Median $338.84 Typical High $467.74 | Facility | None | $147.91 | $338.84 | $467.74 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $81.28 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $81.28 | $281.84 | $660.69 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $436.52 | Facility | None | $218.78 | $302.00 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $104.71 Typical High $281.84 | Facility | None | $91.20 | $104.71 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $162.18 | $162.18 | $204.17 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $223.87 Typical High $5,888.44 | Facility | None | $83.18 | $223.87 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $190.55 | $190.55 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $81.28 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $81.28 | $134.90 | $302.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $147.91 Median $338.84 Typical High $467.74 | Facility | None | $147.91 | $338.84 | $467.74 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $81.28 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $81.28 | $281.84 | $660.69 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | TC · Technical part | $676.08 | $676.08 | $676.08 |
United Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $162.18 | Facility | None | $120.23 | $134.90 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $81.28 Typical High $257.04 | Professional | None (both parts) | $53.70 | $81.28 | $257.04 |
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 $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $134.90 Median $173.78 Typical High $208.93 | Facility | QW · Waived lab test | $134.90 | $173.78 | $208.93 |
Where Massachusetts sits
The same service costs 11.7 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· 19th of 51
$148
TX $661NM $56.23
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.