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 $10.72 Median $21.88 Typical High $51.29 | Facility | None | $10.72 | $21.88 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $16.60 | Professional | None | $10.72 | $10.72 | $16.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $53.70 | Facility | None | $13.80 | $19.50 | $53.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $47.86 | Professional | None | $7.41 | $18.62 | $47.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $29.51 Median $40.74 Typical High $58.88 | Facility | None | $29.51 | $40.74 | $58.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $22.39 Typical High $38.90 | Facility | None | $12.30 | $22.39 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $22.91 Typical High $72.44 | Professional | None | $10.47 | $22.91 | $72.44 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $30.90 Typical High $4,897.79 | Facility | None | $16.60 | $30.90 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | None | $26.30 | $26.30 | $30.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $64.57 | Professional | None | $7.41 | $18.62 | $64.57 |
Health New England Setting Facility Modifier None Typical Low $12.59 Median $25.12 Typical High $144.54 | Facility | None | $12.59 | $25.12 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $53.70 | Facility | None | $13.80 | $19.50 | $53.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $7.41 Median $18.62 Typical High $47.86 | Professional | None | $7.41 | $18.62 | $47.86 |
Tufts Setting Facility Modifier None Typical Low $12.30 Median $19.05 Typical High $30.20 | Facility | None | $12.30 | $19.05 | $30.20 |
Tufts Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $29.51 | Professional | None | $11.48 | $16.22 | $29.51 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $75.86 | Facility | None | $18.62 | $18.62 | $75.86 |
United Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $38.90 | Professional | None | $6.76 | $11.22 | $38.90 |
Well Sense Setting Facility Modifier None Typical Low $11.75 Median $20.42 Typical High $32.36 | Facility | None | $11.75 | $20.42 | $32.36 |
Well Sense Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
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 $18.62 Median $23.99 Typical High $28.84 | Facility | QW · Waived lab test | $18.62 | $23.99 | $28.84 |
Where Massachusetts sits
The same service costs 8.7 times more in Vermont than in Nebraska. 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
$18.62
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.