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 $10.96 Median $21.88 Typical High $51.29 | Facility | None | $10.96 | $21.88 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $51.29 | Professional | None | $10.96 | $10.96 | $51.29 |
AllWays Health Partners Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $229.09 | Facility | None | $57.54 | $67.61 | $229.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $69.18 Typical High $199.53 | Professional | None | $20.89 | $69.18 | $199.53 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $15.85 Median $154.88 Typical High $223.87 | Facility | None | $15.85 | $154.88 | $223.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $72.44 | Professional | None | $14.79 | $14.79 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $144.54 | Facility | None | $50.12 | $64.57 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $93.33 Typical High $302.00 | Professional | None | $28.84 | $93.33 | $302.00 |
Fallon Health Setting Facility Modifier None Typical Low $16.98 Median $112.20 Typical High $4,897.79 | Facility | None | $16.98 | $112.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None | $112.20 | $112.20 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.89 Median $77.62 Typical High $269.15 | Professional | None | $20.89 | $77.62 | $269.15 |
Health New England Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $229.09 | Facility | None | $57.54 | $67.61 | $229.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $69.18 Typical High $199.53 | Professional | None | $20.89 | $69.18 | $199.53 |
United Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $93.33 | Facility | None | $70.79 | $77.62 | $93.33 |
United Setting Professional Modifier None Typical Low $9.55 Median $37.15 Typical High $162.18 | Professional | None | $9.55 | $37.15 | $162.18 |
Well Sense Setting Facility Modifier None Typical Low $12.02 Median $85.11 Typical High $134.90 | Facility | None | $12.02 | $85.11 | $134.90 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
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 $77.62 Median $100.00 Typical High $120.23 | Facility | QW · Waived lab test | $77.62 | $100.00 | $120.23 |
Where Massachusetts sits
The same service costs 5.1 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· 18th of 51
$72.44
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.