How much rates vary
Facilitymedian $155 · 10th to 90th $78 to $295Professionalmedian $126 · 10th to 90th $76 to $302
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 $69.18 Median $138.04 Typical High $165.96 | Facility | None | $69.18 | $138.04 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None | $69.18 | $69.18 | $87.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $100.00 Median $234.42 Typical High $389.05 | Facility | None | $100.00 | $234.42 | $389.05 |
AllWays Health Partners Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $309.03 | Professional | None | $89.13 | $125.89 | $309.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $257.04 | Facility | None | $151.36 | $190.55 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $316.23 | Facility | None | $89.13 | $89.13 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $316.23 | Professional | None | $117.49 | $165.96 | $316.23 |
Fallon Health Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $190.55 | Facility | None | $74.13 | $125.89 | $190.55 |
Fallon Health Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $186.21 | Professional | None | $70.79 | $112.20 | $186.21 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $316.23 | Professional | None | $114.82 | $134.90 | $316.23 |
Health New England Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $338.84 | Facility | None | $131.83 | $173.78 | $338.84 |
Health New England Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $100.00 Median $234.42 Typical High $389.05 | Facility | None | $100.00 | $234.42 | $389.05 |
Mass General Brigham Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $309.03 | Professional | None | $89.13 | $125.89 | $309.03 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $123.03 | Facility | None | $112.20 | $112.20 | $123.03 |
United Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $346.74 | Professional | None | $95.50 | $128.82 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $165.96 | Facility | None | $83.18 | $114.82 | $165.96 |
Well Sense Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None | $69.18 | $69.18 | $83.18 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $34.67 | $40.74 |
AllWays Health Partners Setting Professional Modifier HA · Child/adolescent program Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | HA · Child/adolescent program | $54.95 | $64.57 | $67.61 |
AllWays Health Partners Setting Professional Modifier TF · Intermediate care level Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | TF · Intermediate care level | $54.95 | $64.57 | $67.61 |
Mass General Brigham Setting Professional Modifier HA · Child/adolescent program Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | HA · Child/adolescent program | $54.95 | $64.57 | $67.61 |
Mass General Brigham Setting Professional Modifier TF · Intermediate care level Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | TF · Intermediate care level | $54.95 | $64.57 | $67.61 |
Where Massachusetts sits
The same service costs 3.3 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· 15th of 51
$129
AK $245KY $74.13
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.