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 $2,951.21 Median $7,244.36 Typical High $9,332.54 | Facility | None | $2,951.21 | $7,244.36 | $9,332.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,621.81 Median $5,128.61 Typical High $13,489.63 | Professional | None | $1,621.81 | $5,128.61 | $13,489.63 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $5,495.41 | Facility | None | $2,691.53 | $3,801.89 | $5,495.41 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $4,786.30 | Facility | None | $1,778.28 | $2,137.96 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $2,884.03 Typical High $10,471.29 | Professional | None | $1,621.81 | $2,884.03 | $10,471.29 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,890.45 Typical High $5,888.44 | Facility | None | $83.18 | $3,890.45 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,570.88 | Professional | None | $3,890.45 | $3,890.45 | $4,570.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $6,025.60 | Professional | None | $1,621.81 | $2,691.53 | $6,025.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,951.21 Median $7,244.36 Typical High $9,332.54 | Facility | None | $2,951.21 | $7,244.36 | $9,332.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,621.81 Median $5,128.61 Typical High $13,489.63 | Professional | None | $1,621.81 | $5,128.61 | $13,489.63 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $3,235.94 | Facility | None | $2,454.71 | $2,691.53 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $5,128.61 | Professional | None | $1,096.48 | $1,621.81 | $5,128.61 |
Well Sense Setting Facility Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,398.83 | $3,311.31 | $4,897.79 |
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 $2,691.53 Median $3,548.13 Typical High $4,168.69 | Facility | QW · Waived lab test | $2,691.53 | $3,548.13 | $4,168.69 |
Where Massachusetts sits
The same service costs 17.4 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
$3,236
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.