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 $18.62 Median $34.67 Typical High $87.10 | Facility | None | $18.62 | $34.67 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $34.67 | Professional | None | $17.78 | $18.62 | $34.67 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.79 Median $20.89 Typical High $63.10 | Facility | None | $14.79 | $20.89 | $63.10 |
AllWays Health Partners Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $51.29 | Professional | None | $11.75 | $19.50 | $51.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $38.02 Median $53.70 Typical High $77.62 | Facility | None | $38.02 | $53.70 | $77.62 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $20.42 | Professional | None | $18.62 | $19.05 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.18 Typical High $51.29 | Facility | None | $12.88 | $28.18 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $23.99 Typical High $75.86 | Professional | None | $12.02 | $23.99 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $28.18 Median $33.11 Typical High $4,897.79 | Facility | None | $28.18 | $33.11 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | None | $28.18 | $28.18 | $33.11 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.77 Median $19.50 Typical High $75.86 | Professional | None | $9.77 | $19.50 | $75.86 |
Health New England Setting Facility Modifier None Typical Low $25.12 Median $45.71 Typical High $275.42 | Facility | None | $25.12 | $45.71 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.79 Median $20.89 Typical High $63.10 | Facility | None | $14.79 | $20.89 | $63.10 |
Mass General Brigham Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $51.29 | Professional | None | $11.75 | $19.50 | $51.29 |
Tufts Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $31.62 | Professional | None | $17.38 | $20.42 | $31.62 |
United Setting Facility Modifier None Typical Low $17.78 Median $19.50 Typical High $23.44 | Facility | None | $17.78 | $19.50 | $23.44 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.59 Typical High $41.69 | Professional | None | $7.76 | $12.59 | $41.69 |
Well Sense Setting Facility Modifier None Typical Low $17.38 Median $21.88 Typical High $33.88 | Facility | None | $17.38 | $21.88 | $33.88 |
Well Sense Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | None | $20.42 | $20.42 | $24.55 |
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 $19.50 Median $25.70 Typical High $30.20 | Facility | QW · Waived lab test | $19.50 | $25.70 | $30.20 |
Where Massachusetts sits
The same service costs 17.0 times more in Vermont than in Maryland. 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· 22nd of 51
$20.42
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.