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 $199.53 Median $398.11 Typical High $891.25 | Facility | None | $199.53 | $398.11 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $2,041.74 | Facility | None | $208.93 | $323.59 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $169.82 Median $1,023.29 Typical High $3,388.44 | Professional | None | $169.82 | $1,023.29 | $3,388.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $707.95 | Facility | None | $281.84 | $354.81 | $707.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $660.69 | Professional | None | $263.03 | $263.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $478.63 Typical High $1,202.26 | Facility | None | $186.21 | $478.63 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $707.95 Typical High $2,630.27 | Professional | None | $407.38 | $707.95 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $147.91 Median $1,148.15 Typical High $5,888.44 | Facility | None | $147.91 | $1,148.15 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | None | $977.24 | $977.24 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $169.82 Median $676.08 Typical High $1,348.96 | Professional | None | $169.82 | $676.08 | $1,348.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $2,041.74 | Facility | None | $208.93 | $323.59 | $2,041.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $169.82 Median $1,023.29 Typical High $3,388.44 | Professional | None | $169.82 | $1,023.29 | $3,388.44 |
United Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $812.83 | Facility | None | $602.56 | $676.08 | $812.83 |
United Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $575.44 | Professional | None | $112.20 | $169.82 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,230.27 | Facility | None | $602.56 | $831.76 | $1,230.27 |
Well Sense Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | None | $208.93 | $208.93 | $251.19 |
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 $676.08 Median $870.96 Typical High $1,047.13 | Facility | QW · Waived lab test | $676.08 | $870.96 | $1,047.13 |
Where Massachusetts sits
The same service costs 7.6 times more in Alaska than in New Jersey. 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· 10th of 51
$676
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.