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 $13.49 Median $27.54 Typical High $64.57 | Facility | None | $13.49 | $27.54 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.59 Median $18.20 Typical High $50.12 | Facility | None | $12.59 | $18.20 | $50.12 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.13 Median $16.98 Typical High $43.65 | Professional | None | $8.13 | $16.98 | $43.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $19.95 Median $41.69 Typical High $60.26 | Facility | None | $19.95 | $41.69 | $60.26 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.85 Median $16.60 Typical High $18.20 | Professional | None | $15.85 | $16.60 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $23.99 Typical High $43.65 | Facility | None | $10.96 | $23.99 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $64.57 | Professional | None | $10.23 | $20.42 | $64.57 |
Fallon Health Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $4,897.79 | Facility | None | $20.89 | $28.18 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | None | $23.99 | $23.99 | $28.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $64.57 | Professional | None | $6.76 | $16.98 | $64.57 |
Health New England Setting Facility Modifier None Typical Low $17.78 Median $22.39 Typical High $93.33 | Facility | None | $17.78 | $22.39 | $93.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.59 Median $18.20 Typical High $50.12 | Facility | None | $12.59 | $18.20 | $50.12 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.13 Median $16.98 Typical High $43.65 | Professional | None | $8.13 | $16.98 | $43.65 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.42 | Facility | None | $15.14 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $35.48 | Professional | None | $6.76 | $10.00 | $35.48 |
Well Sense Setting Facility Modifier None Typical Low $14.79 Median $18.62 Typical High $29.51 | Facility | None | $14.79 | $18.62 | $29.51 |
Well Sense Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $17.78 | Professional | None | $14.79 | $14.79 | $17.78 |
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 $16.98 Median $21.88 Typical High $26.30 | Facility | QW · Waived lab test | $16.98 | $21.88 | $26.30 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in New York. 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
$17.78
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.