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 $16.98 Median $31.62 Typical High $81.28 | Facility | None | $16.98 | $31.62 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $30.90 | Professional | None | $16.98 | $16.98 | $30.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $57.54 | Facility | None | $13.49 | $19.50 | $57.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $46.77 | Professional | None | $10.72 | $17.78 | $46.77 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.12 Median $44.67 Typical High $75.86 | Facility | None | $25.12 | $44.67 | $75.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.98 Median $17.78 Typical High $22.91 | Professional | None | $16.98 | $17.78 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $46.77 | Facility | None | $11.75 | $25.70 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $70.79 | Professional | None | $10.96 | $21.88 | $70.79 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $30.20 Typical High $4,897.79 | Facility | None | $25.70 | $30.20 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.91 Median $17.78 Typical High $69.18 | Professional | None | $8.91 | $17.78 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $97.72 | Facility | None | $23.44 | $38.90 | $97.72 |
Mass General Brigham Setting Facility Modifier None Typical Low $13.49 Median $19.50 Typical High $57.54 | Facility | None | $13.49 | $19.50 | $57.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $46.77 | Professional | None | $10.72 | $17.78 | $46.77 |
Tufts Setting Facility Modifier None Typical Low $15.85 Median $20.42 Typical High $29.51 | Facility | None | $15.85 | $20.42 | $29.51 |
Tufts Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $28.84 | Professional | None | $15.85 | $18.62 | $28.84 |
United Setting Facility Modifier None Typical Low $16.22 Median $17.78 Typical High $21.38 | Facility | None | $16.22 | $17.78 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $12.59 Typical High $38.02 | Professional | None | $7.24 | $12.59 | $38.02 |
Well Sense Setting Facility Modifier None Typical Low $15.85 Median $19.95 Typical High $31.62 | Facility | None | $15.85 | $19.95 | $31.62 |
Well Sense Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $22.39 | Professional | None | $18.62 | $18.62 | $22.39 |
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 $17.78 Median $23.44 Typical High $28.18 | Facility | QW · Waived lab test | $17.78 | $23.44 | $28.18 |
Where Massachusetts sits
The same service costs 3.9 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· 20th of 51
$19.95
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.