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 $120.23 Median $120.23 Typical High $162.18 | Facility | None | $120.23 | $120.23 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $162.18 | Professional | None | $120.23 | $158.49 | $162.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $416.87 | Facility | None | $295.12 | $302.00 | $416.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $151.36 Median $1,047.13 Typical High $1,047.13 | Professional | None | $151.36 | $1,047.13 | $1,047.13 |
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 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $416.87 | Professional | None | $144.54 | $199.53 | $416.87 |
Fallon Health Setting Facility Modifier None Typical Low $72.44 Median $131.83 Typical High $186.21 | Facility | None | $72.44 | $131.83 | $186.21 |
Fallon Health Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $281.84 | Professional | None | $107.15 | $181.97 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $234.42 | Professional | None | $104.71 | $154.88 | $234.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $416.87 | Facility | None | $295.12 | $302.00 | $416.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $151.36 Median $1,047.13 Typical High $1,047.13 | Professional | None | $151.36 | $1,047.13 | $1,047.13 |
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 $128.82 Median $204.17 Typical High $489.78 | Professional | None | $128.82 | $204.17 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $208.93 | Facility | None | $107.15 | $134.90 | $208.93 |
Well Sense Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $141.25 | Professional | None | $97.72 | $117.49 | $141.25 |
4 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 |
|---|---|---|---|---|---|
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $162.18 Median $162.18 Typical High $173.78 | Facility | TD · Registered nurse | $162.18 | $162.18 | $173.78 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | SA · Nurse practitioner | $162.18 | $162.18 | $173.78 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | TD · Registered nurse | $162.18 | $162.18 | $173.78 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | U6 · State-defined | $190.55 | $190.55 | $208.93 |
Where Massachusetts sits
The same service costs 2.4 times more in Alaska 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· 28th of 51
$155
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.