How much rates vary
Facilitymedian $7,413 · 10th to 90th $2,951 to $15,849Professionalmedian $5,248 · 10th to 90th $3,162 to $26,303
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 $3,630.78 Median $7,244.36 Typical High $16,218.10 | Facility | None | $3,630.78 | $7,244.36 | $16,218.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5,754.40 Median $13,182.57 Typical High $18,197.01 | Facility | None | $5,754.40 | $13,182.57 | $18,197.01 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $10,964.78 Typical High $26,302.68 | Professional | None (both parts) | $3,162.28 | $10,964.78 | $26,302.68 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $26,302.68 Median $26,302.68 Typical High $26,302.68 | Professional | TC · Technical part | $26,302.68 | $26,302.68 | $26,302.68 |
BCBS Massachusetts Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,073.80 Typical High $10,964.78 | Facility | None | $3,548.13 | $4,073.80 | $10,964.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $7,943.28 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $7,943.28 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $7,413.10 Typical High $8,709.64 | Facility | None | $83.18 | $7,413.10 | $8,709.64 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $7,413.10 Median $7,413.10 Typical High $8,709.64 | Professional | None (both parts) | $7,413.10 | $7,413.10 | $8,709.64 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $5,248.07 Typical High $11,748.98 | Professional | None (both parts) | $3,162.28 | $5,248.07 | $11,748.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $5,754.40 Median $13,182.57 Typical High $18,197.01 | Facility | None | $5,754.40 | $13,182.57 | $18,197.01 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $10,964.78 Typical High $26,302.68 | Professional | None (both parts) | $3,162.28 | $10,964.78 | $26,302.68 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $26,302.68 Median $26,302.68 Typical High $26,302.68 | Professional | TC · Technical part | $26,302.68 | $26,302.68 | $26,302.68 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,162.28 Typical High $10,000.00 | Professional | None (both parts) | $2,089.30 | $3,162.28 | $10,000.00 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 53 · Discontinued | $724.44 | $724.44 | $724.44 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $5,248.07 Median $6,760.83 Typical High $8,128.31 | Facility | QW · Waived lab test | $5,248.07 | $6,760.83 | $8,128.31 |
Where Massachusetts sits
The same service costs 416.9 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
$5,248
TX $26,303AL $63.10
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.