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 $4.79 Median $9.55 Typical High $21.38 | Facility | None | $4.79 | $9.55 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.92 | Professional | None | $4.79 | $4.79 | $6.92 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.80 Median $5.37 Typical High $15.85 | Facility | None | $3.80 | $5.37 | $15.85 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $13.18 | Professional | None | $3.02 | $5.01 | $13.18 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7.24 Median $12.30 Typical High $21.88 | Facility | None | $7.24 | $12.30 | $21.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.68 Median $4.90 Typical High $6.46 | Professional | None | $4.68 | $4.90 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $7.24 Typical High $12.88 | Facility | None | $3.31 | $7.24 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $6.17 Typical High $19.05 | Professional | None | $3.47 | $6.17 | $19.05 |
Fallon Health Setting Facility Modifier None Typical Low $7.08 Median $8.51 Typical High $4,897.79 | Facility | None | $7.08 | $8.51 | $4,897.79 |
Fallon Health Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.51 | Professional | None | $7.24 | $7.24 | $8.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $18.62 | Professional | None | $3.02 | $5.01 | $18.62 |
Health New England Setting Facility Modifier None Typical Low $5.89 Median $6.92 Typical High $26.92 | Facility | None | $5.89 | $6.92 | $26.92 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.80 Median $5.37 Typical High $15.85 | Facility | None | $3.80 | $5.37 | $15.85 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $13.18 | Professional | None | $3.02 | $5.01 | $13.18 |
United Setting Facility Modifier None Typical Low $4.47 Median $5.01 Typical High $6.03 | Facility | None | $4.47 | $5.01 | $6.03 |
United Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $13.18 | Professional | None | $3.02 | $5.01 | $13.18 |
Well Sense Setting Facility Modifier None Typical Low $4.47 Median $5.50 Typical High $8.71 | Facility | None | $4.47 | $5.50 | $8.71 |
Well Sense Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $6.61 | Professional | None | $5.50 | $5.50 | $6.61 |
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 $5.01 Median $6.46 Typical High $7.76 | Facility | QW · Waived lab test | $5.01 | $6.46 | $7.76 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 18th of 51
$6.03
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.