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 $1,479.11 Median $2,951.21 Typical High $6,606.93 | Facility | None | $1,479.11 | $2,951.21 | $6,606.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $891.25 Median $7,413.10 Typical High $10,471.29 | Professional | None (both parts) | $891.25 | $7,413.10 | $10,471.29 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | TC · Technical part | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $4,466.84 | Facility | None | $1,445.44 | $1,659.59 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $3,235.94 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $3,235.94 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,548.13 Typical High $5,888.44 | Facility | None | $83.18 | $3,548.13 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $3,548.13 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,137.96 Typical High $4,786.30 | Professional | None (both parts) | $1,288.25 | $2,137.96 | $4,786.30 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $891.25 Median $7,413.10 Typical High $10,471.29 | Professional | None (both parts) | $891.25 | $7,413.10 | $10,471.29 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | TC · Technical part | $10,715.19 | $10,715.19 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,288.25 Typical High $4,073.80 | Professional | None (both parts) | $851.14 | $1,288.25 | $4,073.80 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $295.12 | $295.12 | $295.12 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $2,137.96 Median $2,754.23 Typical High $3,311.31 | Facility | QW · Waived lab test | $2,137.96 | $2,754.23 | $3,311.31 |
Where Massachusetts sits
The same service costs 229.1 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· 13th of 51
$2,138
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.