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 $15.14 Median $30.20 Typical High $67.61 | Facility | None | $15.14 | $30.20 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.69 Median $3.89 Typical High $50.12 | Facility | None | $2.69 | $3.89 | $50.12 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.14 Median $3.80 Typical High $18.20 | Professional | None | $2.14 | $3.80 | $18.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.92 Median $9.77 Typical High $13.80 | Facility | None | $6.92 | $9.77 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $5.75 Typical High $40.74 | Facility | None | $2.34 | $5.75 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $5.62 Typical High $14.13 | Professional | None | $2.24 | $5.62 | $14.13 |
Fallon Health Setting Facility Modifier None Typical Low $5.25 Median $6.17 Typical High $4,897.79 | Facility | None | $5.25 | $6.17 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.17 | Professional | None | $5.25 | $5.25 | $6.17 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.14 Median $5.75 Typical High $22.91 | Professional | None | $2.14 | $5.75 | $22.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.69 Median $3.89 Typical High $50.12 | Facility | None | $2.69 | $3.89 | $50.12 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.14 Median $3.80 Typical High $18.20 | Professional | None | $2.14 | $3.80 | $18.20 |
United Setting Facility Modifier None Typical Low $3.24 Median $3.55 Typical High $4.27 | Facility | None | $3.24 | $3.55 | $4.27 |
United Setting Professional Modifier None Typical Low $1.45 Median $6.76 Typical High $22.91 | Professional | None | $1.45 | $6.76 | $22.91 |
Well Sense Setting Facility Modifier None Typical Low $3.16 Median $4.37 Typical High $15.85 | Facility | None | $3.16 | $4.37 | $15.85 |
Well Sense Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.05 | Professional | None | $15.85 | $15.85 | $19.05 |
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 $3.55 Median $4.68 Typical High $5.62 | Facility | QW · Waived lab test | $3.55 | $4.68 | $5.62 |
Where Massachusetts sits
The same service costs 7.9 times more in Hawaii than in Washington, DC. 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· 17th of 51
$5.50
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.