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 $32.36 Median $64.57 Typical High $151.36 | Facility | None | $32.36 | $64.57 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | None | $32.36 | $32.36 | $43.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $33.88 Median $48.98 Typical High $134.90 | Facility | None | $33.88 | $48.98 | $134.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $18.62 Median $46.77 Typical High $120.23 | Professional | None | $18.62 | $46.77 | $120.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $147.91 | Facility | None | $74.13 | $102.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $97.72 | Facility | None | $30.20 | $56.23 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $56.23 Typical High $177.83 | Professional | None | $26.30 | $56.23 | $177.83 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $77.62 Typical High $4,897.79 | Facility | None | $50.12 | $77.62 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None | $66.07 | $66.07 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $18.62 Median $46.77 Typical High $158.49 | Professional | None | $18.62 | $46.77 | $158.49 |
Health New England Setting Facility Modifier None Typical Low $30.20 Median $44.67 Typical High $56.23 | Facility | None | $30.20 | $44.67 | $56.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $33.88 Median $48.98 Typical High $134.90 | Facility | None | $33.88 | $48.98 | $134.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $18.62 Median $46.77 Typical High $120.23 | Professional | None | $18.62 | $46.77 | $120.23 |
Tufts Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $74.13 | Professional | None | $34.67 | $40.74 | $74.13 |
United Setting Facility Modifier None Typical Low $41.69 Median $46.77 Typical High $54.95 | Facility | None | $41.69 | $46.77 | $54.95 |
United Setting Professional Modifier None Typical Low $16.98 Median $27.54 Typical High $97.72 | Professional | None | $16.98 | $27.54 | $97.72 |
Well Sense Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $81.28 | Facility | None | $35.48 | $51.29 | $81.28 |
Well Sense Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | None | $35.48 | $35.48 | $42.66 |
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 $46.77 Median $60.26 Typical High $72.44 | Facility | QW · Waived lab test | $46.77 | $60.26 | $72.44 |
Where Massachusetts sits
The same service costs 3.4 times more in Kansas 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· 20th of 51
$46.77
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.