How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,479 to $4,898Professionalmedian $1,349 · 10th to 90th $794 to $6,607
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 $933.25 Median $1,862.09 Typical High $4,168.69 | Facility | None | $933.25 | $1,862.09 | $4,168.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $4,570.88 | Facility | None | $1,479.11 | $3,388.44 | $4,570.88 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $794.33 Median $2,818.38 Typical High $6,606.93 | Professional | None (both parts) | $794.33 | $2,818.38 | $6,606.93 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,047.13 Typical High $2,818.38 | Facility | None | $912.01 | $1,047.13 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $2,041.74 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $2,041.74 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $2,238.72 Typical High $5,888.44 | Facility | None | $83.18 | $2,238.72 | $5,888.44 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,238.72 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,238.72 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,348.96 Typical High $3,019.95 | Professional | None (both parts) | $794.33 | $1,348.96 | $3,019.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $4,570.88 | Facility | None | $1,479.11 | $3,388.44 | $4,570.88 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $794.33 Median $2,818.38 Typical High $6,606.93 | Professional | None (both parts) | $794.33 | $2,818.38 | $6,606.93 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $794.33 Typical High $2,570.40 | Professional | None (both parts) | $537.03 | $794.33 | $2,570.40 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | 52 · Reduced service | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 53 · Discontinued | $186.21 | $186.21 | $186.21 |
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $1,348.96 Median $1,737.80 Typical High $2,089.30 | Facility | QW · Waived lab test | $1,348.96 | $1,737.80 | $2,089.30 |
Where Massachusetts sits
The same service costs 104.7 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· 11th of 51
$1,380
TX $6,607AL $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.