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 $11.48 Median $16.22 Typical High $47.86 | Facility | None | $11.48 | $16.22 | $47.86 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $39.81 | Professional | None | $9.33 | $15.14 | $39.81 |
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 $14.45 Median $15.14 Typical High $19.05 | Professional | None | $14.45 | $15.14 | $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 $9.33 Median $16.22 Typical High $60.26 | Professional | None | $9.33 | $16.22 | $60.26 |
Fallon Health Setting Facility Modifier None Typical Low $21.88 Median $25.70 Typical High $4,897.79 | Facility | None | $21.88 | $25.70 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | None | $21.88 | $21.88 | $25.70 |
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 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.48 Median $16.22 Typical High $47.86 | Facility | None | $11.48 | $16.22 | $47.86 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $39.81 | Professional | None | $9.33 | $15.14 | $39.81 |
United Setting Facility Modifier None Typical Low $13.80 Median $15.14 Typical High $18.20 | Facility | None | $13.80 | $15.14 | $18.20 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $32.36 | Professional | None | $9.12 | $15.14 | $32.36 |
Well Sense Setting Facility Modifier None Typical Low $13.49 Median $16.98 Typical High $26.92 | Facility | None | $13.49 | $16.98 | $26.92 |
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 $19.95 Typical High $23.44 | Facility | QW · Waived lab test | $15.14 | $19.95 | $23.44 |
Where Massachusetts sits
The same service costs 4.8 times more in Kansas 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· 17th of 51
$16.98
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.