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 $19.05 Median $38.02 Typical High $85.11 | Facility | None | $19.05 | $38.02 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | None | $19.05 | $19.05 | $19.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $79.43 | Facility | None | $19.95 | $28.18 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $70.79 | Professional | None | $12.59 | $26.92 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $19.50 Typical High $43.65 | Facility | None | $17.78 | $19.50 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $33.11 Typical High $104.71 | Professional | None | $16.22 | $33.11 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $38.90 Median $45.71 Typical High $5,888.44 | Facility | None | $38.90 | $45.71 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None | $38.90 | $38.90 | $45.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $93.33 | Professional | None | $12.59 | $26.92 | $93.33 |
Health New England Setting Facility Modifier None Typical Low $25.70 Median $89.13 Typical High $154.88 | Facility | None | $25.70 | $89.13 | $154.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $79.43 | Facility | None | $19.95 | $28.18 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.59 Median $26.92 Typical High $70.79 | Professional | None | $12.59 | $26.92 | $70.79 |
United Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $32.36 | Facility | None | $24.55 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $57.54 | Professional | None | $10.96 | $16.22 | $57.54 |
Well Sense Setting Facility Modifier None Typical Low $19.95 Median $30.20 Typical High $46.77 | Facility | None | $19.95 | $30.20 | $46.77 |
Well Sense Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | None | $19.95 | $19.95 | $23.99 |
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 $26.92 Median $35.48 Typical High $41.69 | Facility | QW · Waived lab test | $26.92 | $35.48 | $41.69 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Georgia. 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
$26.92
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.