How much rates vary
Facilitymedian $170 · 10th to 90th $89 to $295Professionalmedian $135 · 10th to 90th $107 to $200
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 $114.82 Median $151.36 Typical High $288.40 | Facility | None | $114.82 | $151.36 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $199.53 | Professional | None | $131.83 | $169.82 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $416.87 | Facility | None | $295.12 | $323.59 | $416.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $398.11 | Professional | None | $134.90 | $134.90 | $398.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $323.59 | Facility | None | $141.25 | $218.78 | $323.59 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $177.83 | Professional | None | $107.15 | $134.90 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $234.42 | Professional | None | $107.15 | $134.90 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $158.49 Typical High $208.93 | Facility | None | $81.28 | $158.49 | $208.93 |
Fallon Health Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $190.55 | Professional | None | $123.03 | $141.25 | $190.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $181.97 | Professional | None | $109.65 | $134.90 | $181.97 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $380.19 Typical High $537.03 | Facility | None | $173.78 | $380.19 | $537.03 |
Health New England Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $177.83 | Professional | None | $107.15 | $125.89 | $177.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $323.59 Typical High $416.87 | Facility | None | $295.12 | $323.59 | $416.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $398.11 | Professional | None | $134.90 | $134.90 | $398.11 |
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 $134.90 Median $134.90 Typical High $181.97 | Professional | None | $134.90 | $134.90 | $181.97 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $125.89 Typical High $213.80 | Facility | None | $104.71 | $125.89 | $213.80 |
Well Sense Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $125.89 | Professional | None | $91.20 | $104.71 | $125.89 |
15 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 $91.20 Median $199.53 Typical High $199.53 | Professional | AF · Specialist physician | $91.20 | $199.53 | $199.53 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $57.54 Median $151.36 Typical High $151.36 | Professional | HO · Master's level | $57.54 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $57.54 Median $169.82 Typical High $169.82 | Professional | TD · Registered nurse | $57.54 | $169.82 | $169.82 |
Fallon Health Setting Facility Modifier HO · Master's level Typical Low $75.86 Median $134.90 Typical High $173.78 | Facility | HO · Master's level | $75.86 | $134.90 | $173.78 |
Fallon Health Setting Facility Modifier HP · Doctoral level Typical Low $67.61 Median $75.86 Typical High $194.98 | Facility | HP · Doctoral level | $67.61 | $75.86 | $194.98 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $91.20 Median $154.88 Typical High $199.53 | Facility | SA · Nurse practitioner | $91.20 | $154.88 | $199.53 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $87.10 Median $154.88 Typical High $181.97 | Facility | TD · Registered nurse | $87.10 | $154.88 | $181.97 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $151.36 Median $181.97 Typical High $229.09 | Facility | U6 · State-defined | $151.36 | $181.97 | $229.09 |
Fallon Health Setting Facility Modifier U7 · State-defined Typical Low $54.95 Median $54.95 Typical High $147.91 | Facility | U7 · State-defined | $54.95 | $54.95 | $147.91 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | HO · Master's level | $134.90 | $134.90 | $141.25 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $67.61 Median $158.49 Typical High $158.49 | Professional | HP · Doctoral level | $67.61 | $158.49 | $158.49 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | SA · Nurse practitioner | $154.88 | $154.88 | $162.18 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $154.88 Median $154.88 Typical High $162.18 | Professional | TD · Registered nurse | $154.88 | $154.88 | $162.18 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | U6 · State-defined | $181.97 | $181.97 | $190.55 |
Fallon Health Setting Professional Modifier U7 · State-defined Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | U7 · State-defined | $54.95 | $54.95 | $57.54 |
Where Massachusetts sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 22nd of 51
$135
ND $186OH $107
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.