How much rates vary
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 $6.92 Median $13.80 Typical High $32.36 | Facility | None | $6.92 | $13.80 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $13.18 | Professional | None | $6.92 | $6.92 | $13.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $39.81 | Facility | None | $10.23 | $14.79 | $39.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.17 Median $13.80 Typical High $35.48 | Professional | None | $6.17 | $13.80 | $35.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10.23 Median $33.88 Typical High $48.98 | Facility | None | $10.23 | $33.88 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $12.88 | Professional | None | $9.33 | $9.33 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.50 Typical High $35.48 | Facility | None | $9.12 | $19.50 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $16.98 Typical High $53.70 | Professional | None | $8.32 | $16.98 | $53.70 |
Fallon Health Setting Facility Modifier None Typical Low $10.72 Median $22.91 Typical High $4,897.79 | Facility | None | $10.72 | $22.91 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | None | $19.50 | $19.50 | $22.91 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.17 Median $13.80 Typical High $52.48 | Professional | None | $6.17 | $13.80 | $52.48 |
Health New England Setting Facility Modifier None Typical Low $9.55 Median $16.98 Typical High $263.03 | Facility | None | $9.55 | $16.98 | $263.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.23 Median $14.79 Typical High $39.81 | Facility | None | $10.23 | $14.79 | $39.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.17 Median $13.80 Typical High $35.48 | Professional | None | $6.17 | $13.80 | $35.48 |
United Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $16.60 | Facility | None | $12.30 | $13.80 | $16.60 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $34.67 | Professional | None | $5.50 | $8.32 | $34.67 |
Well Sense Setting Facility Modifier None Typical Low $7.59 Median $15.14 Typical High $23.99 | Facility | None | $7.59 | $15.14 | $23.99 |
Well Sense Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $9.12 | Professional | None | $7.59 | $7.59 | $9.12 |
1 more rate 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 |
|---|---|---|---|---|---|
Fallon Health Setting Facility Modifier QW · Waived lab test Typical Low $13.80 Median $17.78 Typical High $21.38 | Facility | QW · Waived lab test | $13.80 | $17.78 | $21.38 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$14.45
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.