How much rates vary
Facilitymedian $4,266 · 10th to 90th $2,512 to $8,318Professionalmedian $2,630 · 10th to 90th $1,585 to $13,183
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 $1,862.09 Median $3,715.35 Typical High $8,317.64 | Facility | None | $1,862.09 | $3,715.35 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,884.03 Median $6,760.83 Typical High $9,120.11 | Facility | None | $2,884.03 | $6,760.83 | $9,120.11 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $5,495.41 Typical High $13,182.57 | Professional | None (both parts) | $1,584.89 | $5,495.41 | $13,182.57 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | TC · Technical part | $13,182.57 | $13,182.57 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $4,677.35 | Facility | None | $1,778.28 | $1,995.26 | $4,677.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $4,073.80 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $4,073.80 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,801.89 Typical High $5,888.44 | Facility | None | $83.18 | $3,801.89 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $3,801.89 Typical High $4,466.84 | Professional | None (both parts) | $3,801.89 | $3,801.89 | $4,466.84 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,630.27 Typical High $5,011.87 | Professional | None (both parts) | $1,584.89 | $2,630.27 | $5,011.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,884.03 Median $6,760.83 Typical High $9,120.11 | Facility | None | $2,884.03 | $6,760.83 | $9,120.11 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $5,495.41 Typical High $13,182.57 | Professional | None (both parts) | $1,584.89 | $5,495.41 | $13,182.57 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | TC · Technical part | $13,182.57 | $13,182.57 | $13,182.57 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $3,162.28 | Facility | None | $2,398.83 | $2,630.27 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,584.89 Typical High $5,011.87 | Professional | None (both parts) | $1,071.52 | $1,584.89 | $5,011.87 |
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 $933.25 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2,630.27 Median $3,467.37 Typical High $4,073.80 | Facility | QW · Waived lab test | $2,630.27 | $3,467.37 | $4,073.80 |
Where Massachusetts sits
The same service costs 31.6 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· 18th of 51
$2,630
TX $13,183OH $417
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.