How much rates vary
Facilitymedian $2,042 · 10th to 90th $794 to $4,898Professionalmedian $794 · 10th to 90th $479 to $3,981
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 $562.34 Median $1,122.02 Typical High $2,454.71 | Facility | None | $562.34 | $1,122.02 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
AllWays Health Partners Setting Facility Modifier None Typical Low $870.96 Median $2,041.74 Typical High $2,754.23 | Facility | None | $870.96 | $2,041.74 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,659.59 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $1,659.59 | $3,981.07 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | TC · Technical part | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $1,412.54 | Facility | None | $537.03 | $602.56 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,000.00 | Professional | None (both parts) | $794.33 | $794.33 | $1,000.00 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,348.96 Typical High $5,888.44 | Facility | None | $83.18 | $1,348.96 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,348.96 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $478.63 Median $794.33 Typical High $1,513.56 | Professional | None (both parts) | $478.63 | $794.33 | $1,513.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $870.96 Median $2,041.74 Typical High $2,754.23 | Facility | None | $870.96 | $2,041.74 | $2,754.23 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,659.59 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $1,659.59 | $3,981.07 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | TC · Technical part | $3,981.07 | $3,981.07 | $3,981.07 |
United Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $954.99 | Facility | None | $707.95 | $794.33 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $1,513.56 | Professional | None (both parts) | $316.23 | $478.63 | $1,513.56 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $794.33 Median $1,023.29 Typical High $1,230.27 | Facility | QW · Waived lab test | $794.33 | $1,023.29 | $1,230.27 |
Where Massachusetts sits
The same service costs 12.0 times more in Texas than in Alabama. 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
$794
TX $3,981AL $331
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.