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 $38.90 Median $77.62 Typical High $173.78 | Facility | None | $38.90 | $77.62 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | None | $38.90 | $38.90 | $46.77 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $380.19 | Facility | None | $117.49 | $138.04 | $380.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $53.70 Median $251.19 Typical High $741.31 | Professional | None | $53.70 | $251.19 | $741.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $57.54 Median $316.23 Typical High $457.09 | Facility | None | $57.54 | $316.23 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $120.23 | Professional | None | $52.48 | $52.48 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $501.19 | Facility | None | $102.33 | $213.80 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $154.88 Typical High $501.19 | Professional | None | $77.62 | $154.88 | $501.19 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $218.78 Typical High $5,888.44 | Facility | None | $60.26 | $218.78 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $51.29 Median $128.82 Typical High $275.42 | Professional | None | $51.29 | $128.82 | $275.42 |
Health New England Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $57.54 | Facility | None | $54.95 | $54.95 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $138.04 Typical High $380.19 | Facility | None | $117.49 | $138.04 | $380.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $53.70 Median $251.19 Typical High $741.31 | Professional | None | $53.70 | $251.19 | $741.31 |
United Setting Facility Modifier None Typical Low $114.82 Median $128.82 Typical High $154.88 | Facility | None | $114.82 | $128.82 | $154.88 |
United Setting Professional Modifier None Typical Low $34.67 Median $77.62 Typical High $245.47 | Professional | None | $34.67 | $77.62 | $245.47 |
Well Sense Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $234.42 | Facility | None | $114.82 | $158.49 | $234.42 |
Well Sense Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | None | $134.90 | $134.90 | $162.18 |
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 $128.82 Median $165.96 Typical High $199.53 | Facility | QW · Waived lab test | $128.82 | $165.96 | $199.53 |
Where Massachusetts sits
The same service costs 3.8 times more in Alaska than in Georgia. 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· 24th of 51
$135
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.