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 $26.92 Median $53.70 Typical High $120.23 | Facility | None | $26.92 | $53.70 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $28.84 | Professional | None | $26.92 | $26.92 | $28.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $112.20 | Facility | None | $28.18 | $40.74 | $112.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.49 Median $38.90 Typical High $100.00 | Professional | None | $15.49 | $38.90 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $27.54 Typical High $61.66 | Facility | None | $25.12 | $27.54 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $46.77 Typical High $151.36 | Professional | None | $22.91 | $46.77 | $151.36 |
Fallon Health Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $5,888.44 | Facility | None | $54.95 | $64.57 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $15.49 Median $38.90 Typical High $131.83 | Professional | None | $15.49 | $38.90 | $131.83 |
Health New England Setting Facility Modifier None Typical Low $36.31 Median $45.71 Typical High $204.17 | Facility | None | $36.31 | $45.71 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $112.20 | Facility | None | $28.18 | $40.74 | $112.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.49 Median $38.90 Typical High $100.00 | Professional | None | $15.49 | $38.90 | $100.00 |
United Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $46.77 | Facility | None | $34.67 | $38.90 | $46.77 |
United Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $81.28 | Professional | None | $13.49 | $22.91 | $81.28 |
Well Sense Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $67.61 | Facility | None | $28.18 | $42.66 | $67.61 |
Well Sense Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None | $28.18 | $28.18 | $33.88 |
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 $38.90 Median $50.12 Typical High $60.26 | Facility | QW · Waived lab test | $38.90 | $50.12 | $60.26 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska 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· 16th of 51
$38.90
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.