How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,950 to $6,166Professionalmedian $1,950 · 10th to 90th $1,175 to $9,772
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 $1,380.38 Median $2,754.23 Typical High $6,025.60 | Facility | None | $1,380.38 | $2,754.23 | $6,025.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $6,760.83 | Facility | None | $2,137.96 | $5,011.87 | $6,760.83 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $4,073.80 Typical High $9,772.37 | Professional | None (both parts) | $1,174.90 | $4,073.80 | $9,772.37 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | TC · Technical part | $9,772.37 | $9,772.37 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $3,467.37 | Facility | None | $1,318.26 | $1,479.11 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $2,454.71 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $2,454.71 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,311.31 Typical High $5,888.44 | Facility | None | $83.18 | $3,311.31 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $3,311.31 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $3,311.31 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,949.84 Typical High $3,715.35 | Professional | None (both parts) | $1,174.90 | $1,949.84 | $3,715.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,137.96 Median $5,011.87 Typical High $6,760.83 | Facility | None | $2,137.96 | $5,011.87 | $6,760.83 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $4,073.80 Typical High $9,772.37 | Professional | None (both parts) | $1,174.90 | $4,073.80 | $9,772.37 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | TC · Technical part | $9,772.37 | $9,772.37 | $9,772.37 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,344.23 | Facility | None | $1,737.80 | $1,949.84 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,174.90 Typical High $3,715.35 | Professional | None (both parts) | $776.25 | $1,174.90 | $3,715.35 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $275.42 | $275.42 | $275.42 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $1,949.84 Median $2,511.89 Typical High $3,019.95 | Facility | QW · Waived lab test | $1,949.84 | $2,511.89 | $3,019.95 |
Where Massachusetts sits
The same service costs 16.6 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· 14th of 51
$1,950
TX $9,772AL $589
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.