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 $21.88 Median $43.65 Typical High $102.33 | Facility | None | $21.88 | $43.65 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | None | $21.88 | $21.88 | $27.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.91 Median $32.36 Typical High $89.13 | Facility | None | $22.91 | $32.36 | $89.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.30 Median $30.90 Typical High $79.43 | Professional | None | $12.30 | $30.90 | $79.43 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $33.88 Median $61.66 Typical High $102.33 | Facility | None | $33.88 | $61.66 | $102.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | None | $28.84 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $38.90 Typical High $64.57 | Facility | None | $20.42 | $38.90 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $37.15 Typical High $120.23 | Professional | None | $17.78 | $37.15 | $120.23 |
Fallon Health Setting Facility Modifier None Typical Low $32.36 Median $51.29 Typical High $4,897.79 | Facility | None | $32.36 | $51.29 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None | $43.65 | $43.65 | $51.29 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.30 Median $30.90 Typical High $107.15 | Professional | None | $12.30 | $30.90 | $107.15 |
Health New England Setting Facility Modifier None Typical Low $21.38 Median $56.23 Typical High $190.55 | Facility | None | $21.38 | $56.23 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.91 Median $32.36 Typical High $89.13 | Facility | None | $22.91 | $32.36 | $89.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.30 Median $30.90 Typical High $79.43 | Professional | None | $12.30 | $30.90 | $79.43 |
United Setting Facility Modifier None Typical Low $27.54 Median $30.90 Typical High $37.15 | Facility | None | $27.54 | $30.90 | $37.15 |
United Setting Professional Modifier None Typical Low $11.48 Median $18.62 Typical High $64.57 | Professional | None | $11.48 | $18.62 | $64.57 |
Well Sense Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $53.70 | Facility | None | $25.12 | $33.88 | $53.70 |
Well Sense Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $30.20 | Professional | None | $25.12 | $25.12 | $30.20 |
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 $30.90 Median $39.81 Typical High $47.86 | Facility | QW · Waived lab test | $30.90 | $39.81 | $47.86 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Kansas. 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
$32.36
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.