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 $2,570.40 Median $6,309.57 Typical High $8,128.31 | Facility | None | $2,570.40 | $6,309.57 | $8,128.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $4,466.84 Typical High $11,748.98 | Professional | None | $1,412.54 | $4,466.84 | $11,748.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,344.23 Median $3,311.31 Typical High $4,677.35 | Facility | None | $2,344.23 | $3,311.31 | $4,677.35 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $4,168.69 | Facility | None | $1,548.82 | $1,819.70 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $9,120.11 | Professional | None | $1,412.54 | $2,454.71 | $9,120.11 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $5,888.44 | Facility | None | $83.18 | $3,630.78 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,981.07 | Professional | None | $3,311.31 | $3,311.31 | $3,981.07 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,412.54 Median $2,344.23 Typical High $5,248.07 | Professional | None | $1,412.54 | $2,344.23 | $5,248.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,570.40 Median $6,309.57 Typical High $8,128.31 | Facility | None | $2,570.40 | $6,309.57 | $8,128.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,412.54 Median $4,466.84 Typical High $11,748.98 | Professional | None | $1,412.54 | $4,466.84 | $11,748.98 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $2,818.38 | Facility | None | $2,089.30 | $2,344.23 | $2,818.38 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,412.54 Typical High $4,466.84 | Professional | None | $933.25 | $1,412.54 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,265.80 | Facility | None | $2,041.74 | $2,884.03 | $4,265.80 |
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 $2,344.23 Median $3,019.95 Typical High $3,630.78 | Facility | QW · Waived lab test | $2,344.23 | $3,019.95 | $3,630.78 |
Where Massachusetts sits
The same service costs 67.6 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· 10th of 51
$2,818
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.