How much rates vary
Facilitymedian $1,950 · 10th to 90th $759 to $4,898Professionalmedian $759 · 10th to 90th $457 to $3,802
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 $537.03 Median $1,071.52 Typical High $2,398.83 | Facility | None | $537.03 | $1,071.52 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $2,630.27 | Facility | None | $831.76 | $1,949.84 | $2,630.27 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,621.81 Typical High $3,801.89 | Professional | None (both parts) | $457.09 | $1,621.81 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | TC · Technical part | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $1,621.81 | Facility | None | $512.86 | $588.84 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None (both parts) | $933.25 | $933.25 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,288.25 Typical High $5,888.44 | Facility | None | $83.18 | $1,288.25 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $457.09 Median $758.58 Typical High $1,737.80 | Professional | None (both parts) | $457.09 | $758.58 | $1,737.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $1,949.84 Typical High $2,630.27 | Facility | None | $831.76 | $1,949.84 | $2,630.27 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,621.81 Typical High $3,801.89 | Professional | None (both parts) | $457.09 | $1,621.81 | $3,801.89 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | TC · Technical part | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $912.01 | Facility | None | $691.83 | $758.58 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $1,445.44 | Professional | None (both parts) | $302.00 | $457.09 | $1,445.44 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $758.58 Median $977.24 Typical High $1,174.90 | Facility | QW · Waived lab test | $758.58 | $977.24 | $1,174.90 |
Where Massachusetts sits
The same service costs 12.0 times more in Texas 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· 13th of 51
$759
TX $3,802OH $316
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.