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 $10.47 Median $20.89 Typical High $48.98 | Facility | None | $10.47 | $20.89 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $37.15 | Professional | None | $10.47 | $10.47 | $37.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $28.84 Typical High $77.62 | Facility | None | $19.95 | $28.84 | $77.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.72 Median $24.55 Typical High $69.18 | Professional | None | $10.72 | $24.55 | $69.18 |
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 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $25.12 | Professional | None | $14.13 | $14.13 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $38.02 Typical High $69.18 | Facility | None | $17.78 | $38.02 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $104.71 | Professional | None | $16.22 | $32.36 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $16.22 Median $44.67 Typical High $4,897.79 | Facility | None | $16.22 | $44.67 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $10.72 Median $26.92 Typical High $102.33 | Professional | None | $10.72 | $26.92 | $102.33 |
Health New England Setting Facility Modifier None Typical Low $14.45 Median $25.70 Typical High $58.88 | Facility | None | $14.45 | $25.70 | $58.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $28.84 Typical High $77.62 | Facility | None | $19.95 | $28.84 | $77.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.72 Median $24.55 Typical High $69.18 | Professional | None | $10.72 | $24.55 | $69.18 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $32.36 | Facility | None | $23.99 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $9.12 Median $16.22 Typical High $56.23 | Professional | None | $9.12 | $16.22 | $56.23 |
Well Sense Setting Facility Modifier None Typical Low $11.48 Median $29.51 Typical High $46.77 | Facility | None | $11.48 | $29.51 | $46.77 |
Well Sense Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.80 | Professional | None | $11.48 | $11.48 | $13.80 |
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 $34.67 Typical High $41.69 | Facility | QW · Waived lab test | $26.92 | $34.67 | $41.69 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Alabama. 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
$26.92
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.