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 $25.70 Median $25.70 Typical High $114.82 | Facility | None | $25.70 | $25.70 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $31.62 | Professional | None | $24.55 | $25.70 | $31.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $85.11 | Facility | None | $20.42 | $28.84 | $85.11 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $70.79 | Professional | None | $13.18 | $23.99 | $70.79 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $52.48 Median $74.13 Typical High $107.15 | Facility | None | $52.48 | $74.13 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $35.48 Typical High $69.18 | Facility | None | $17.78 | $35.48 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $33.11 Typical High $104.71 | Professional | None | $16.60 | $33.11 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $38.02 Median $45.71 Typical High $4,897.79 | Facility | None | $38.02 | $45.71 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None | $38.90 | $38.90 | $45.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.96 Median $26.92 Typical High $104.71 | Professional | None | $10.96 | $26.92 | $104.71 |
Health New England Setting Facility Modifier None Typical Low $26.30 Median $45.71 Typical High $87.10 | Facility | None | $26.30 | $45.71 | $87.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $85.11 | Facility | None | $20.42 | $28.84 | $85.11 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.18 Median $23.99 Typical High $70.79 | Professional | None | $13.18 | $23.99 | $70.79 |
United Setting Facility Modifier None Typical Low $24.55 Median $26.92 Typical High $32.36 | Facility | None | $24.55 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $57.54 | Professional | None | $10.96 | $16.22 | $57.54 |
Well Sense Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $47.86 | Facility | None | $20.42 | $30.20 | $47.86 |
Well Sense Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | None | $20.42 | $20.42 | $23.99 |
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 $26.92 Median $35.48 Typical High $42.66 | Facility | QW · Waived lab test | $26.92 | $35.48 | $42.66 |
Where Massachusetts sits
The same service costs 4.9 times more in Minnesota 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· 26th of 51
$28.18
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.