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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | None | $57.54 | $57.54 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $75.86 Median $416.87 Typical High $416.87 | Professional | None | $75.86 | $416.87 | $416.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $56.23 Median $147.91 Typical High $199.53 | Facility | None | $56.23 | $147.91 | $199.53 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $56.23 Median $67.61 Typical High $93.33 | Professional | None | $56.23 | $67.61 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $48.98 Typical High $74.13 | Professional | None | $30.20 | $48.98 | $74.13 |
Fallon Health Setting Facility Modifier None Typical Low $32.36 Median $64.57 Typical High $83.18 | Facility | None | $32.36 | $64.57 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $91.20 | Professional | None | $39.81 | $67.61 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $102.33 | Professional | None | $46.77 | $54.95 | $102.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $75.86 Median $416.87 Typical High $416.87 | Professional | None | $75.86 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $229.09 | Professional | None | $63.10 | $85.11 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $87.10 | Facility | None | $43.65 | $47.86 | $87.10 |
Well Sense Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $66.07 | Professional | None | $45.71 | $54.95 | $66.07 |
3 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 Professional Modifier HO · Master's level Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | HO · Master's level | $67.61 | $67.61 | $72.44 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | SA · Nurse practitioner | $67.61 | $67.61 | $72.44 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | U6 · State-defined | $67.61 | $67.61 | $72.44 |
Where Massachusetts sits
The same service costs 3.4 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· 33rd of 51
$57.54
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.