How much rates vary
Facilitymedian $8,511 · 10th to 90th $3,090 to $15,488Professionalmedian $5,012 · 10th to 90th $3,020 to $25,119
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 $3,467.37 Median $7,079.46 Typical High $15,488.17 | Facility | None | $3,467.37 | $7,079.46 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5,495.41 Median $12,882.50 Typical High $17,378.01 | Facility | None | $5,495.41 | $12,882.50 | $17,378.01 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $10,471.29 Typical High $25,118.86 | Professional | None (both parts) | $3,019.95 | $10,471.29 | $25,118.86 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $25,118.86 Median $25,118.86 Typical High $25,118.86 | Professional | TC · Technical part | $25,118.86 | $25,118.86 | $25,118.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $8,128.31 Median $11,481.54 Typical High $16,218.10 | Facility | None | $8,128.31 | $11,481.54 | $16,218.10 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $8,912.51 | Facility | None | $3,388.44 | $3,715.35 | $8,912.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,737.80 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,737.80 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $7,079.46 Typical High $8,511.38 | Facility | None | $83.18 | $7,079.46 | $8,511.38 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $7,079.46 Median $7,079.46 Typical High $8,511.38 | Professional | None (both parts) | $7,079.46 | $7,079.46 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $5,011.87 Typical High $11,220.18 | Professional | None (both parts) | $3,019.95 | $5,011.87 | $11,220.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $5,495.41 Median $12,882.50 Typical High $17,378.01 | Facility | None | $5,495.41 | $12,882.50 | $17,378.01 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $10,471.29 Typical High $25,118.86 | Professional | None (both parts) | $3,019.95 | $10,471.29 | $25,118.86 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $25,118.86 Median $25,118.86 Typical High $25,118.86 | Professional | TC · Technical part | $25,118.86 | $25,118.86 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $3,019.95 Typical High $9,549.93 | Professional | None (both parts) | $1,995.26 | $3,019.95 | $9,549.93 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5,011.87 Median $6,456.54 Typical High $7,762.47 | Facility | QW · Waived lab test | $5,011.87 | $6,456.54 | $7,762.47 |
Where Massachusetts sits
The same service costs 12.0 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· 15th of 51
$5,012
TX $25,119AL $2,089
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.