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 $446.68 Median $891.25 Typical High $1,995.26 | Facility | None | $446.68 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $269.15 Median $2,187.76 Typical High $3,162.28 | Professional | None (both parts) | $269.15 | $2,187.76 | $3,162.28 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $489.78 Typical High $1,348.96 | Facility | None | $426.58 | $489.78 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | None (both parts) | $776.25 | $776.25 | $977.24 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,071.52 Typical High $5,888.44 | Facility | None | $83.18 | $1,071.52 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | None (both parts) | $912.01 | $912.01 | $1,071.52 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $380.19 Median $630.96 Typical High $1,318.26 | Professional | None (both parts) | $380.19 | $630.96 | $1,318.26 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $269.15 Median $2,187.76 Typical High $3,162.28 | Professional | None (both parts) | $269.15 | $2,187.76 | $3,162.28 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $758.58 | Facility | None | $575.44 | $630.96 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $1,202.26 | Professional | None (both parts) | $251.19 | $380.19 | $1,202.26 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $630.96 Median $831.76 Typical High $977.24 | Facility | QW · Waived lab test | $630.96 | $831.76 | $977.24 |
Where Massachusetts sits
The same service costs 11.7 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· 17th of 51
$631
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.