How much rates vary
Facilitymedian $5,129 · 10th to 90th $2,692 to $10,715Professionalmedian $3,631 · 10th to 90th $2,138 to $17,783
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 $2,511.89 Median $5,011.87 Typical High $11,220.18 | Facility | None | $2,511.89 | $5,011.87 | $11,220.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,981.07 Median $9,120.11 Typical High $12,302.69 | Facility | None | $3,981.07 | $9,120.11 | $12,302.69 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $7,585.78 Typical High $17,782.79 | Professional | None (both parts) | $2,137.96 | $7,585.78 | $17,782.79 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $18,197.01 Median $18,197.01 Typical High $18,197.01 | Professional | TC · Technical part | $18,197.01 | $18,197.01 | $18,197.01 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $7,585.78 | Facility | None | $2,454.71 | $2,818.38 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,365.16 Median $4,365.16 Typical High $5,495.41 | Professional | None (both parts) | $4,365.16 | $4,365.16 | $5,495.41 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $5,128.61 Typical High $6,025.60 | Facility | None | $83.18 | $5,128.61 | $6,025.60 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $6,025.60 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $6,025.60 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $3,630.78 Typical High $8,128.31 | Professional | None (both parts) | $2,137.96 | $3,630.78 | $8,128.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,981.07 Median $9,120.11 Typical High $12,302.69 | Facility | None | $3,981.07 | $9,120.11 | $12,302.69 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $7,585.78 Typical High $17,782.79 | Professional | None (both parts) | $2,137.96 | $7,585.78 | $17,782.79 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $18,197.01 Median $18,197.01 Typical High $18,197.01 | Professional | TC · Technical part | $18,197.01 | $18,197.01 | $18,197.01 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,630.78 Typical High $4,365.16 | Facility | None | $3,235.94 | $3,630.78 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,137.96 Typical High $6,918.31 | Professional | None (both parts) | $1,445.44 | $2,137.96 | $6,918.31 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $501.19 | $501.19 | $501.19 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,630.78 Median $4,677.35 Typical High $5,623.41 | Facility | QW · Waived lab test | $3,630.78 | $4,677.35 | $5,623.41 |
Where Massachusetts sits
The same service costs 8.9 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· 16th of 51
$3,631
TX $13,490NM $1,514
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.