How much rates vary
Facilitymedian $126 · 10th to 90th $69 to $288Professionalmedian $93 · 10th to 90th $83 to $155
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 $83.18 Median $112.20 Typical High $154.88 | Facility | None | $83.18 | $112.20 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $154.88 | Professional | None | $100.00 | $131.83 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $363.08 | Facility | None | $251.19 | $295.12 | $363.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $630.96 | Professional | None | $89.13 | $89.13 | $630.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $302.00 | Facility | None | $125.89 | $213.80 | $302.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | None | $93.33 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $120.23 | Professional | None | $54.95 | $81.28 | $120.23 |
Fallon Health Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $162.18 | Facility | None | $66.07 | $117.49 | $162.18 |
Fallon Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None | $102.33 | $102.33 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $120.23 | Professional | None | $83.18 | $89.13 | $120.23 |
Health New England Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Health New England Setting Professional Modifier None Typical Low $91.20 Median $501.19 Typical High $741.31 | Professional | None | $91.20 | $501.19 | $741.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $363.08 | Facility | None | $251.19 | $295.12 | $363.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $630.96 | Professional | None | $89.13 | $89.13 | $630.96 |
Tufts Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
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 $89.13 Median $89.13 Typical High $120.23 | Professional | None | $89.13 | $89.13 | $120.23 |
Well Sense Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $162.18 | Facility | None | $69.18 | $87.10 | $162.18 |
Well Sense Setting Professional Modifier None Typical Low $37.15 Median $63.10 Typical High $77.62 | Professional | None | $37.15 | $63.10 | $77.62 |
27 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 $83.18 Median $123.03 Typical High $154.88 | Professional | AF · Specialist physician | $83.18 | $123.03 | $154.88 |
BCBS Massachusetts Setting Professional Modifier CT · Older CT scanner Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | CT · Older CT scanner | $107.15 | $107.15 | $107.15 |
Fallon Health Setting Facility Modifier HO · Master's level Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | HO · Master's level | $102.33 | $102.33 | $123.03 |
Fallon Health Setting Facility Modifier HP · Doctoral level Typical Low $100.00 Median $112.20 Typical High $181.97 | Facility | HP · Doctoral level | $100.00 | $112.20 | $181.97 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $97.72 Median $104.71 Typical High $154.88 | Facility | SA · Nurse practitioner | $97.72 | $104.71 | $154.88 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $39.81 Median $100.00 Typical High $123.03 | Facility | TD · Registered nurse | $39.81 | $100.00 | $123.03 |
Fallon Health Setting Facility Modifier U3 · State-defined Typical Low $50.12 Median $50.12 Typical High $60.26 | Facility | U3 · State-defined | $50.12 | $50.12 | $60.26 |
Fallon Health Setting Facility Modifier U4 · State-defined Typical Low $48.98 Median $48.98 Typical High $60.26 | Facility | U4 · State-defined | $48.98 | $48.98 | $60.26 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $107.15 Median $123.03 Typical High $181.97 | Facility | U6 · State-defined | $107.15 | $123.03 | $181.97 |
Fallon Health Setting Facility Modifier U7 · State-defined Typical Low $102.33 Median $102.33 Typical High $117.49 | Facility | U7 · State-defined | $102.33 | $102.33 | $117.49 |
Fallon Health Setting Facility Modifier UG · Afternoon Typical Low $141.25 Median $141.25 Typical High $154.88 | Facility | UG · Afternoon | $141.25 | $141.25 | $154.88 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | HO · Master's level | $89.13 | $102.33 | $102.33 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | HP · Doctoral level | $100.00 | $109.65 | $109.65 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $97.72 Median $100.00 Typical High $104.71 | Professional | SA · Nurse practitioner | $97.72 | $100.00 | $104.71 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $27.54 Median $100.00 Typical High $104.71 | Professional | TD · Registered nurse | $27.54 | $100.00 | $104.71 |
Fallon Health Setting Professional Modifier U3 · State-defined Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | U3 · State-defined | $50.12 | $50.12 | $50.12 |
Fallon Health Setting Professional Modifier U4 · State-defined Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | U4 · State-defined | $48.98 | $48.98 | $48.98 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $109.65 Median $117.49 Typical High $123.03 | Professional | U6 · State-defined | $109.65 | $117.49 | $123.03 |
Fallon Health Setting Professional Modifier U7 · State-defined Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | U7 · State-defined | $102.33 | $102.33 | $102.33 |
Fallon Health Setting Professional Modifier UG · Afternoon Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | UG · Afternoon | $141.25 | $141.25 | $141.25 |
Well Sense Setting Facility Modifier HN · Bachelor's level Typical Low $69.18 Median $69.18 Typical High $162.18 | Facility | HN · Bachelor's level | $69.18 | $69.18 | $162.18 |
Well Sense Setting Facility Modifier HO · Master's level Typical Low $102.33 Median $112.20 Typical High $229.09 | Facility | HO · Master's level | $102.33 | $112.20 | $229.09 |
Well Sense Setting Facility Modifier SA · Nurse practitioner Typical Low $97.72 Median $117.49 Typical High $223.87 | Facility | SA · Nurse practitioner | $97.72 | $117.49 | $223.87 |
Well Sense Setting Facility Modifier U3 · State-defined Typical Low $50.12 Median $60.26 Typical High $114.82 | Facility | U3 · State-defined | $50.12 | $60.26 | $114.82 |
Well Sense Setting Facility Modifier U4 · State-defined Typical Low $48.98 Median $58.88 Typical High $109.65 | Facility | U4 · State-defined | $48.98 | $58.88 | $109.65 |
Well Sense Setting Facility Modifier U6 · State-defined Typical Low $107.15 Median $128.82 Typical High $245.47 | Facility | U6 · State-defined | $107.15 | $128.82 | $245.47 |
Well Sense Setting Facility Modifier UG · Afternoon Typical Low $141.25 Median $169.82 Typical High $288.40 | Facility | UG · Afternoon | $141.25 | $169.82 | $288.40 |
Where Massachusetts sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 26th of 51
$93.33
AK $129NM $72.44
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.