How much rates vary
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 $251.19 Median $501.19 Typical High $1,122.02 | Facility | None | $251.19 | $501.19 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $151.36 Median $1,258.93 Typical High $1,819.70 | Professional | None (both parts) | $151.36 | $1,258.93 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $630.96 | Facility | None | $245.47 | $269.15 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | None (both parts) | $363.08 | $363.08 | $446.68 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $602.56 Typical High $5,888.44 | Facility | None | $83.18 | $602.56 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $512.86 | $512.86 | $602.56 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $218.78 | $363.08 | $691.83 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $151.36 Median $1,258.93 Typical High $1,819.70 | Professional | None (both parts) | $151.36 | $1,258.93 | $1,819.70 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $436.52 | Facility | None | $323.59 | $363.08 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $691.83 | Professional | None (both parts) | $144.54 | $218.78 | $691.83 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $363.08 Median $467.74 Typical High $562.34 | Facility | QW · Waived lab test | $363.08 | $467.74 | $562.34 |
Where Massachusetts sits
The same service costs 12.0 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· 15th of 51
$363
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.