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 $15.85 Median $32.36 Typical High $70.79 | Facility | None | $15.85 | $32.36 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.05 | Professional | None | $15.85 | $15.85 | $19.05 |
AllWays Health Partners Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $102.33 | Facility | None | $25.70 | $37.15 | $102.33 |
AllWays Health Partners Setting Professional Modifier None Typical Low $11.22 Median $30.90 Typical High $91.20 | Professional | None | $11.22 | $30.90 | $91.20 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.62 Median $69.18 Typical High $100.00 | Facility | None | $18.62 | $69.18 | $100.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $33.11 | Professional | None | $21.38 | $21.38 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $64.57 | Facility | None | $20.42 | $33.11 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $42.66 Typical High $134.90 | Professional | None | $12.88 | $42.66 | $134.90 |
Fallon Health Setting Facility Modifier None Typical Low $23.44 Median $58.88 Typical High $4,897.79 | Facility | None | $23.44 | $58.88 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None | $50.12 | $50.12 | $58.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $11.22 Median $35.48 Typical High $120.23 | Professional | None | $11.22 | $35.48 | $120.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $102.33 | Facility | None | $25.70 | $37.15 | $102.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $11.22 Median $30.90 Typical High $91.20 | Professional | None | $11.22 | $30.90 | $91.20 |
United Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $41.69 | Facility | None | $31.62 | $35.48 | $41.69 |
United Setting Professional Modifier None Typical Low $10.47 Median $18.62 Typical High $74.13 | Professional | None | $10.47 | $18.62 | $74.13 |
Well Sense Setting Facility Modifier None Typical Low $13.49 Median $38.90 Typical High $61.66 | Facility | None | $13.49 | $38.90 | $61.66 |
Well Sense Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
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 $35.48 Median $45.71 Typical High $54.95 | Facility | QW · Waived lab test | $35.48 | $45.71 | $54.95 |
Where Massachusetts sits
The same service costs 5.4 times more in Alaska than in Kentucky. 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· 14th of 51
$35.48
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.