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 $14.45 Median $28.84 Typical High $67.61 | Facility | None | $14.45 | $28.84 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | None | $14.45 | $14.45 | $16.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $47.86 | Facility | None | $11.22 | $16.22 | $47.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $38.90 | Professional | None | $9.33 | $15.14 | $38.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $20.89 Median $37.15 Typical High $63.10 | Facility | None | $20.89 | $37.15 | $63.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $19.05 | Professional | None | $14.13 | $14.79 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.38 Typical High $38.90 | Facility | None | $10.00 | $21.38 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $58.88 | Professional | None | $9.12 | $12.02 | $58.88 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $25.12 Typical High $4,897.79 | Facility | None | $21.38 | $25.12 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None | $21.38 | $21.38 | $25.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $58.88 | Professional | None | $9.12 | $15.14 | $58.88 |
Health New England Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $47.86 | Facility | None | $11.22 | $16.22 | $47.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $38.90 | Professional | None | $9.33 | $15.14 | $38.90 |
United Setting Facility Modifier None Typical Low $13.49 Median $15.14 Typical High $18.20 | Facility | None | $13.49 | $15.14 | $18.20 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $31.62 | Professional | None | $9.12 | $15.14 | $31.62 |
Well Sense Setting Facility Modifier None Typical Low $13.18 Median $16.60 Typical High $26.30 | Facility | None | $13.18 | $16.60 | $26.30 |
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 $15.14 Median $19.50 Typical High $23.44 | Facility | QW · Waived lab test | $15.14 | $19.50 | $23.44 |
Where Massachusetts sits
The same service costs 3.7 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· 18th of 51
$16.60
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.