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 $57.54 Typical High $144.54 | Facility | None | $32.36 | $57.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $47.86 | Professional | None | $32.36 | $32.36 | $47.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $147.91 | Facility | None | $37.15 | $53.70 | $147.91 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.14 Median $44.67 Typical High $131.83 | Professional | None | $15.14 | $44.67 | $131.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $162.18 | Facility | None | $81.28 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $61.66 Typical High $107.15 | Facility | None | $33.11 | $61.66 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $61.66 Typical High $199.53 | Professional | None | $24.55 | $61.66 | $199.53 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $85.11 Typical High $4,897.79 | Facility | None | $47.86 | $85.11 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $11.22 Median $51.29 Typical High $173.78 | Professional | None | $11.22 | $51.29 | $173.78 |
Health New England Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $44.67 | Facility | None | $32.36 | $37.15 | $44.67 |
Mass General Brigham Setting Facility Modifier None Typical Low $37.15 Median $53.70 Typical High $147.91 | Facility | None | $37.15 | $53.70 | $147.91 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.14 Median $44.67 Typical High $131.83 | Professional | None | $15.14 | $44.67 | $131.83 |
United Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $61.66 | Facility | None | $45.71 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $11.22 Median $22.91 Typical High $107.15 | Professional | None | $11.22 | $22.91 | $107.15 |
Well Sense Setting Facility Modifier None Typical Low $14.13 Median $56.23 Typical High $89.13 | Facility | None | $14.13 | $56.23 | $89.13 |
Well Sense Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.98 | Professional | None | $14.13 | $14.13 | $16.98 |
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 $51.29 Median $66.07 Typical High $79.43 | Facility | QW · Waived lab test | $51.29 | $66.07 | $79.43 |
Where Massachusetts sits
The same service costs 5.0 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· 15th of 51
$51.29
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.