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 $79.43 Median $102.33 Typical High $151.36 | Facility | None | $79.43 | $102.33 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $151.36 | Professional | None | $100.00 | $128.82 | $151.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $117.49 Median $660.69 Typical High $660.69 | Professional | None | $117.49 | $660.69 | $660.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $199.53 | Facility | None | $87.10 | $128.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $125.89 | Professional | None | $54.95 | $79.43 | $125.89 |
Fallon Health Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $128.82 | Facility | None | $52.48 | $93.33 | $128.82 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $151.36 | Professional | None | $72.44 | $93.33 | $151.36 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $158.49 | Professional | None | $72.44 | $93.33 | $158.49 |
Mass General Brigham Setting Professional Modifier None Typical Low $117.49 Median $660.69 Typical High $660.69 | Professional | None | $117.49 | $660.69 | $660.69 |
United Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $398.11 | Facility | None | $141.25 | $269.15 | $398.11 |
United Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $331.13 | Professional | None | $79.43 | $138.04 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $147.91 | Facility | None | $75.86 | $91.20 | $147.91 |
Well Sense Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $93.33 | Professional | None | $70.79 | $77.62 | $93.33 |
5 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 $100.00 Median $100.00 Typical High $104.71 | Facility | TD · Registered nurse | $100.00 | $100.00 | $104.71 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | HO · Master's level | $87.10 | $87.10 | $93.33 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | SA · Nurse practitioner | $100.00 | $100.00 | $104.71 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $100.00 Median $100.00 Typical High $104.71 | Professional | TD · Registered nurse | $100.00 | $100.00 | $104.71 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | U6 · State-defined | $117.49 | $117.49 | $123.03 |
Where Massachusetts sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 7th of 51
$115
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.