How much rates vary
Facilitymedian $4,266 · 10th to 90th $2,512 to $8,913Professionalmedian $2,951 · 10th to 90th $1,738 to $14,454
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 $2,041.74 Median $4,073.80 Typical High $9,120.11 | Facility | None | $2,041.74 | $4,073.80 | $9,120.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,041.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,235.94 Median $7,413.10 Typical High $10,000.00 | Facility | None | $3,235.94 | $7,413.10 | $10,000.00 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $6,165.95 Typical High $14,454.40 | Professional | None (both parts) | $1,737.80 | $6,165.95 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $14,791.08 | $14,791.08 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,290.87 Typical High $6,165.95 | Facility | None | $1,995.26 | $2,290.87 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $4,466.84 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $4,466.84 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $4,168.69 Typical High $5,888.44 | Facility | None | $83.18 | $4,168.69 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $4,897.79 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $4,897.79 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,951.21 Typical High $6,760.83 | Professional | None (both parts) | $1,737.80 | $2,951.21 | $6,760.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,235.94 Median $7,413.10 Typical High $10,000.00 | Facility | None | $3,235.94 | $7,413.10 | $10,000.00 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $6,165.95 Typical High $14,454.40 | Professional | None (both parts) | $1,737.80 | $6,165.95 | $14,454.40 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $14,791.08 | $14,791.08 | $14,791.08 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $3,467.37 | Facility | None | $2,630.27 | $2,951.21 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,737.80 Typical High $5,623.41 | Professional | None (both parts) | $1,174.90 | $1,737.80 | $5,623.41 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $407.38 | $407.38 | $407.38 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2,951.21 Median $3,801.89 Typical High $4,570.88 | Facility | QW · Waived lab test | $2,951.21 | $3,801.89 | $4,570.88 |
Where Massachusetts sits
The same service costs 30.9 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
$2,951
TX $14,454OH $468
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.