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 $3.63 Median $7.24 Typical High $16.22 | Facility | None | $3.63 | $7.24 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4.68 Median $6.61 Typical High $426.58 | Facility | None | $4.68 | $6.61 | $426.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.24 Median $5.89 Typical High $16.60 | Professional | None | $3.24 | $5.89 | $16.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $630.96 | Facility | None | $316.23 | $389.05 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.03 | Professional | None | $4.79 | $4.79 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $7.59 Typical High $13.49 | Facility | None | $4.17 | $7.59 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $7.76 Typical High $23.99 | Professional | None | $2.95 | $7.76 | $23.99 |
Fallon Health Setting Facility Modifier None Typical Low $5.62 Median $10.72 Typical High $4,897.79 | Facility | None | $5.62 | $10.72 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.72 | Professional | None | $9.12 | $9.12 | $10.72 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.02 Median $6.31 Typical High $630.96 | Professional | None | $3.02 | $6.31 | $630.96 |
Health New England Setting Facility Modifier None Typical Low $15.14 Median $21.38 Typical High $316.23 | Facility | None | $15.14 | $21.38 | $316.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $4.68 Median $6.61 Typical High $426.58 | Facility | None | $4.68 | $6.61 | $426.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.24 Median $5.89 Typical High $16.60 | Professional | None | $3.24 | $5.89 | $16.60 |
United Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $1,412.54 | Facility | None | $501.19 | $954.99 | $1,412.54 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $13.49 | Professional | None | $2.51 | $3.80 | $13.49 |
Well Sense Setting Facility Modifier None Typical Low $3.98 Median $7.08 Typical High $10.96 | Facility | None | $3.98 | $7.08 | $10.96 |
Well Sense Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | None | $3.98 | $3.98 | $4.79 |
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 $6.31 Median $8.32 Typical High $9.77 | Facility | QW · Waived lab test | $6.31 | $8.32 | $9.77 |
Where Massachusetts sits
The same service costs 4.5 times more in Texas 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· 19th of 51
$6.31
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.