How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,951 to $12,882Professionalmedian $4,169 · 10th to 90th $2,512 to $20,893
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 $2,951.21 Median $5,888.44 Typical High $13,182.57 | Facility | None | $2,951.21 | $5,888.44 | $13,182.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4,570.88 Median $10,715.19 Typical High $14,454.40 | Facility | None | $4,570.88 | $10,715.19 | $14,454.40 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $8,709.64 Typical High $20,892.96 | Professional | None (both parts) | $2,511.89 | $8,709.64 | $20,892.96 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $20,892.96 Median $20,892.96 Typical High $20,892.96 | Professional | TC · Technical part | $20,892.96 | $20,892.96 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $3,162.28 Typical High $7,413.10 | Facility | None | $2,818.38 | $3,162.28 | $7,413.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,760.83 Median $6,760.83 Typical High $8,511.38 | Professional | None (both parts) | $6,760.83 | $6,760.83 | $8,511.38 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $6,025.60 Typical High $7,079.46 | Facility | None | $83.18 | $6,025.60 | $7,079.46 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Professional | None (both parts) | $6,025.60 | $6,025.60 | $7,079.46 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $4,168.69 Typical High $7,943.28 | Professional | None (both parts) | $2,511.89 | $4,168.69 | $7,943.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $4,570.88 Median $10,715.19 Typical High $14,454.40 | Facility | None | $4,570.88 | $10,715.19 | $14,454.40 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $8,709.64 Typical High $20,892.96 | Professional | None (both parts) | $2,511.89 | $8,709.64 | $20,892.96 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $20,892.96 Median $20,892.96 Typical High $20,892.96 | Professional | TC · Technical part | $20,892.96 | $20,892.96 | $20,892.96 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $5,011.87 | Facility | None | $3,801.89 | $4,168.69 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,511.89 Typical High $7,943.28 | Professional | None (both parts) | $1,659.59 | $2,511.89 | $7,943.28 |
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $588.84 | $588.84 | $588.84 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $4,168.69 Median $5,495.41 Typical High $6,456.54 | Facility | QW · Waived lab test | $4,168.69 | $5,495.41 | $6,456.54 |
Where Massachusetts sits
The same service costs 67.6 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· 12th of 51
$4,169
TX $20,893OH $309
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.