How much rates vary
Facilitymedian $5,754 · 10th to 90th $3,090 to $10,471Professionalmedian $3,467 · 10th to 90th $2,042 to $16,982
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 $2,398.83 Median $4,786.30 Typical High $10,715.19 | Facility | None | $2,398.83 | $4,786.30 | $10,715.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,801.89 Median $8,709.64 Typical High $11,748.98 | Facility | None | $3,801.89 | $8,709.64 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $7,244.36 Typical High $16,982.44 | Professional | None (both parts) | $2,041.74 | $7,244.36 | $16,982.44 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | TC · Technical part | $17,378.01 | $17,378.01 | $17,378.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,677.35 Median $6,606.93 Typical High $9,549.93 | Facility | None | $4,677.35 | $6,606.93 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $2,570.40 Typical High $6,025.60 | Facility | None | $2,344.23 | $2,570.40 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $4,265.80 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $4,265.80 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $4,897.79 Typical High $5,888.44 | Facility | None | $83.18 | $4,897.79 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $4,897.79 Typical High $5,754.40 | Professional | None (both parts) | $4,897.79 | $4,897.79 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $3,467.37 Typical High $6,606.93 | Professional | None (both parts) | $2,041.74 | $3,467.37 | $6,606.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,801.89 Median $8,709.64 Typical High $11,748.98 | Facility | None | $3,801.89 | $8,709.64 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $7,244.36 Typical High $16,982.44 | Professional | None (both parts) | $2,041.74 | $7,244.36 | $16,982.44 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | TC · Technical part | $17,378.01 | $17,378.01 | $17,378.01 |
United Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,041.74 Typical High $6,606.93 | Professional | None (both parts) | $1,380.38 | $2,041.74 | $6,606.93 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $478.63 | $478.63 | $478.63 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $3,467.37 Median $4,466.84 Typical High $5,370.32 | Facility | QW · Waived lab test | $3,467.37 | $4,466.84 | $5,370.32 |
Where Massachusetts sits
The same service costs 35.5 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· 17th of 51
$3,467
TX $16,982OH $479
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.