How much rates vary
Facilitymedian $89 · 10th to 90th $49 to $240Professionalmedian $72 · 10th to 90th $56 to $98
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 $58.88 Median $74.13 Typical High $95.50 | Facility | None | $58.88 | $74.13 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $95.50 | Professional | None | $67.61 | $81.28 | $95.50 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $223.87 | Facility | None | $162.18 | $177.83 | $223.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $223.87 | Professional | None | $72.44 | $72.44 | $223.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $75.86 Median $204.17 Typical High $288.40 | Facility | None | $75.86 | $204.17 | $288.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $95.50 | Professional | None | $56.23 | $72.44 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $85.11 | Professional | None | $30.20 | $51.29 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $112.20 | Facility | None | $47.86 | $83.18 | $112.20 |
Fallon Health Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $102.33 | Professional | None | $66.07 | $75.86 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $97.72 | Professional | None | $58.88 | $72.44 | $97.72 |
Health New England Setting Facility Modifier None Typical Low $38.02 Median $69.18 Typical High $138.04 | Facility | None | $38.02 | $69.18 | $138.04 |
Health New England Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $478.63 | Professional | None | $61.66 | $83.18 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $223.87 | Facility | None | $162.18 | $177.83 | $223.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $223.87 | Professional | None | $72.44 | $72.44 | $223.87 |
Tufts Setting Facility Modifier None Typical Low $25.70 Median $58.88 Typical High $302.00 | Facility | None | $25.70 | $58.88 | $302.00 |
Tufts Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None | $38.02 | $38.02 | $47.86 |
United Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $67.61 Typical High $112.20 | Facility | None | $54.95 | $67.61 | $112.20 |
Well Sense Setting Professional Modifier None Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | None | $37.15 | $44.67 | $58.88 |
25 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $60.26 Median $70.79 Typical High $95.50 | Professional | AF · Specialist physician | $60.26 | $70.79 | $95.50 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $41.69 Median $72.44 Typical High $75.86 | Professional | HO · Master's level | $41.69 | $72.44 | $75.86 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $41.69 Median $81.28 Typical High $85.11 | Professional | TD · Registered nurse | $41.69 | $81.28 | $85.11 |
Fallon Health Setting Facility Modifier HO · Master's level Typical Low $52.48 Median $72.44 Typical High $83.18 | Facility | HO · Master's level | $52.48 | $72.44 | $83.18 |
Fallon Health Setting Facility Modifier HP · Doctoral level Typical Low $58.88 Median $64.57 Typical High $97.72 | Facility | HP · Doctoral level | $58.88 | $64.57 | $97.72 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $58.88 Median $81.28 Typical High $93.33 | Facility | SA · Nurse practitioner | $58.88 | $81.28 | $93.33 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $57.54 Median $81.28 Typical High $87.10 | Facility | TD · Registered nurse | $57.54 | $81.28 | $87.10 |
Fallon Health Setting Facility Modifier U3 · State-defined Typical Low $35.48 Median $35.48 Typical High $38.90 | Facility | U3 · State-defined | $35.48 | $35.48 | $38.90 |
Fallon Health Setting Facility Modifier U4 · State-defined Typical Low $31.62 Median $31.62 Typical High $38.90 | Facility | U4 · State-defined | $31.62 | $31.62 | $38.90 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $72.44 Median $97.72 Typical High $125.89 | Facility | U6 · State-defined | $72.44 | $97.72 | $125.89 |
Fallon Health Setting Facility Modifier U7 · State-defined Typical Low $52.48 Median $52.48 Typical High $75.86 | Facility | U7 · State-defined | $52.48 | $52.48 | $75.86 |
Fallon Health Setting Facility Modifier UG · Afternoon Typical Low $69.18 Median $69.18 Typical High $85.11 | Facility | UG · Afternoon | $69.18 | $69.18 | $85.11 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $72.44 Median $72.44 Typical High $75.86 | Professional | HO · Master's level | $72.44 | $72.44 | $75.86 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $58.88 Median $75.86 Typical High $77.62 | Professional | HP · Doctoral level | $58.88 | $75.86 | $77.62 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | SA · Nurse practitioner | $81.28 | $81.28 | $87.10 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $39.81 Median $81.28 Typical High $87.10 | Professional | TD · Registered nurse | $39.81 | $81.28 | $87.10 |
Fallon Health Setting Professional Modifier U3 · State-defined Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | U3 · State-defined | $35.48 | $35.48 | $35.48 |
Fallon Health Setting Professional Modifier U4 · State-defined Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | U4 · State-defined | $31.62 | $31.62 | $31.62 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | U6 · State-defined | $97.72 | $97.72 | $102.33 |
Fallon Health Setting Professional Modifier U7 · State-defined Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | U7 · State-defined | $52.48 | $52.48 | $52.48 |
Fallon Health Setting Professional Modifier UG · Afternoon Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UG · Afternoon | $69.18 | $69.18 | $69.18 |
Well Sense Setting Facility Modifier HN · Bachelor's level Typical Low $54.95 Median $54.95 Typical High $128.82 | Facility | HN · Bachelor's level | $54.95 | $54.95 | $128.82 |
Well Sense Setting Facility Modifier SA · Nurse practitioner Typical Low $58.88 Median $64.57 Typical High $104.71 | Facility | SA · Nurse practitioner | $58.88 | $64.57 | $104.71 |
Well Sense Setting Facility Modifier U3 · State-defined Typical Low $35.48 Median $42.66 Typical High $81.28 | Facility | U3 · State-defined | $35.48 | $42.66 | $81.28 |
Well Sense Setting Facility Modifier U4 · State-defined Typical Low $31.62 Median $37.15 Typical High $70.79 | Facility | U4 · State-defined | $31.62 | $37.15 | $70.79 |
Where Massachusetts sits
The same service costs 1.9 times more in North Dakota 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· 14th of 51
$72.44
ND $100KY $53.70
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.