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 $64.57 Median $128.82 Typical High $302.00 | Facility | None | $64.57 | $128.82 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $213.80 | Facility | None | $50.12 | $72.44 | $213.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $173.78 | Professional | None | $40.74 | $67.61 | $173.78 |
BCBS Setting Facility Modifier None Typical Low $93.33 Median $165.96 Typical High $288.40 | Facility | None | $93.33 | $165.96 | $288.40 |
BCBS Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $87.10 | Professional | None | $63.10 | $66.07 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $95.50 Typical High $173.78 | Facility | None | $44.67 | $95.50 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $81.28 Typical High $263.03 | Professional | None | $40.74 | $81.28 | $263.03 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $4,897.79 | Facility | None | $83.18 | $114.82 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | None | $97.72 | $97.72 | $114.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.88 Median $67.61 Typical High $263.03 | Professional | None | $33.88 | $67.61 | $263.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $213.80 | Facility | None | $50.12 | $72.44 | $213.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $173.78 | Professional | None | $40.74 | $67.61 | $173.78 |
United Setting Facility Modifier None Typical Low $60.26 Median $67.61 Typical High $81.28 | Facility | None | $60.26 | $67.61 | $81.28 |
United Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $141.25 | Professional | None | $26.92 | $52.48 | $141.25 |
Well Sense Setting Facility Modifier None Typical Low $58.88 Median $74.13 Typical High $117.49 | Facility | None | $58.88 | $74.13 | $117.49 |
Well Sense Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None | $70.79 | $70.79 | $85.11 |
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 $67.61 Median $87.10 Typical High $104.71 | Facility | QW · Waived lab test | $67.61 | $87.10 | $104.71 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Georgia. 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· 18th of 51
$77.62
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.