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 $70.79 Median $100.00 Typical High $316.23 | Facility | None | $70.79 | $100.00 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $100.00 | Professional | None | $70.79 | $70.79 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $295.12 | Facility | None | $74.13 | $104.71 | $295.12 |
AllWays Health Partners Setting Professional Modifier None Typical Low $39.81 Median $93.33 Typical High $257.04 | Professional | None | $39.81 | $93.33 | $257.04 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $288.40 | Facility | None | $87.10 | $199.53 | $288.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | None | $93.33 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $208.93 | Facility | None | $66.07 | $123.03 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $120.23 Typical High $389.05 | Professional | None | $57.54 | $120.23 | $389.05 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $169.82 Typical High $4,897.79 | Facility | None | $83.18 | $169.82 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | None | $144.54 | $144.54 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $39.81 Median $100.00 Typical High $346.74 | Professional | None | $39.81 | $100.00 | $346.74 |
Health New England Setting Facility Modifier None Typical Low $87.10 Median $125.89 Typical High $147.91 | Facility | None | $87.10 | $125.89 | $147.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $74.13 Median $104.71 Typical High $295.12 | Facility | None | $74.13 | $104.71 | $295.12 |
Mass General Brigham Setting Professional Modifier None Typical Low $39.81 Median $93.33 Typical High $257.04 | Professional | None | $39.81 | $93.33 | $257.04 |
Tufts Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $223.87 | Facility | None | $85.11 | $120.23 | $223.87 |
United Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $120.23 | Facility | None | $89.13 | $100.00 | $120.23 |
United Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $208.93 | Professional | None | $37.15 | $60.26 | $208.93 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $109.65 Typical High $173.78 | Facility | None | $64.57 | $109.65 | $173.78 |
Well Sense Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None | $64.57 | $64.57 | $77.62 |
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 $100.00 Median $128.82 Typical High $154.88 | Facility | QW · Waived lab test | $100.00 | $128.82 | $154.88 |
Where Massachusetts sits
The same service costs 5.0 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· 19th of 51
$100
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.