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 $0.02 Median $0.02 Typical High $0.04 | Facility | None | $0.02 | $0.02 | $0.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5,495.41 Median $13,489.63 Typical High $17,378.01 | Facility | None | $5,495.41 | $13,489.63 | $17,378.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3,019.95 Median $9,549.93 Typical High $25,118.86 | Professional | None | $3,019.95 | $9,549.93 | $25,118.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5,011.87 Median $7,079.46 Typical High $10,232.93 | Facility | None | $5,011.87 | $7,079.46 | $10,232.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $8,912.51 | Facility | None | $3,311.31 | $3,890.45 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $3,019.95 Median $5,248.07 Typical High $19,498.45 | Professional | None | $3,019.95 | $5,248.07 | $19,498.45 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $7,244.36 Typical High $8,511.38 | Facility | None | $83.18 | $7,244.36 | $8,511.38 |
Fallon Health Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $8,511.38 | Professional | None | $7,244.36 | $7,244.36 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3,019.95 Median $5,011.87 Typical High $11,220.18 | Professional | None | $3,019.95 | $5,011.87 | $11,220.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $5,495.41 Median $13,489.63 Typical High $17,378.01 | Facility | None | $5,495.41 | $13,489.63 | $17,378.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $3,019.95 Median $9,549.93 Typical High $25,118.86 | Professional | None | $3,019.95 | $9,549.93 | $25,118.86 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $5,011.87 Typical High $6,025.60 | Facility | None | $4,570.88 | $5,011.87 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,019.95 Typical High $9,549.93 | Professional | None | $1,995.26 | $3,019.95 | $9,549.93 |
Well Sense Setting Facility Modifier None Typical Low $4,466.84 Median $6,165.95 Typical High $9,120.11 | Facility | None | $4,466.84 | $6,165.95 | $9,120.11 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $5,011.87 Median $6,606.93 Typical High $7,762.47 | Facility | QW · Waived lab test | $5,011.87 | $6,606.93 | $7,762.47 |
Where Massachusetts sits
The same service costs 30.9 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
$5,888
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.