How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,995 to $5,888Professionalmedian $1,905 · 10th to 90th $1,148 to $9,550
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 $1,318.26 Median $2,691.53 Typical High $5,888.44 | Facility | None | $1,318.26 | $2,691.53 | $5,888.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,089.30 Median $4,897.79 Typical High $6,606.93 | Facility | None | $2,089.30 | $4,897.79 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $3,981.07 Typical High $9,549.93 | Professional | None (both parts) | $1,148.15 | $3,981.07 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | TC · Technical part | $9,549.93 | $9,549.93 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $3,388.44 | Facility | None | $1,288.25 | $1,412.54 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,398.83 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,398.83 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,235.94 Typical High $5,888.44 | Facility | None | $83.18 | $3,235.94 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,691.53 Typical High $3,235.94 | Professional | None (both parts) | $2,691.53 | $2,691.53 | $3,235.94 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,905.46 Typical High $3,630.78 | Professional | None (both parts) | $1,148.15 | $1,905.46 | $3,630.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,089.30 Median $4,897.79 Typical High $6,606.93 | Facility | None | $2,089.30 | $4,897.79 | $6,606.93 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $3,981.07 Typical High $9,549.93 | Professional | None (both parts) | $1,148.15 | $3,981.07 | $9,549.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | TC · Technical part | $9,549.93 | $9,549.93 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,148.15 Typical High $3,630.78 | Professional | None (both parts) | $758.58 | $1,148.15 | $3,630.78 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $263.03 | $263.03 | $263.03 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $1,905.46 Median $2,454.71 Typical High $2,951.21 | Facility | QW · Waived lab test | $1,905.46 | $2,454.71 | $2,951.21 |
Where Massachusetts sits
The same service costs 12.0 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· 18th of 51
$1,905
TX $9,550NM $794
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.