How much rates vary
Facilitymedian $166 · 10th to 90th $79 to $316Professionalmedian $135 · 10th to 90th $98 to $204
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 $125.89 Median $134.90 Typical High $154.88 | Facility | None | $125.89 | $134.90 | $154.88 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $63.10 Median $67.61 Typical High $70.79 | Facility | 52 · Reduced service | $63.10 | $67.61 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $28.18 | Facility | 53 · Discontinued | $25.12 | $26.92 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $194.98 | Professional | None | $125.89 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $26.92 | $26.92 |
AllWays Health Partners Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $363.08 | Facility | None | $257.04 | $316.23 | $363.08 |
AllWays Health Partners Setting Professional Modifier None Typical Low $100.00 Median $295.12 Typical High $794.33 | Professional | None | $100.00 | $295.12 | $794.33 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $323.59 | Facility | None | $117.49 | $223.87 | $323.59 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $177.83 | Professional | None | $117.49 | $141.25 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $147.91 Typical High $323.59 | Professional | None | $120.23 | $147.91 | $323.59 |
Fallon Health Setting Facility Modifier None Typical Low $70.79 Median $141.25 Typical High $190.55 | Facility | None | $70.79 | $141.25 | $190.55 |
Fallon Health Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $181.97 | Professional | None | $93.33 | $147.91 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $208.93 | Professional | None | $97.72 | $114.82 | $208.93 |
Health New England Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $67.61 | Facility | None | $63.10 | $63.10 | $67.61 |
Health New England Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $1,148.15 | Professional | None | $831.76 | $1,148.15 | $1,148.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $363.08 | Facility | None | $257.04 | $316.23 | $363.08 |
Mass General Brigham Setting Professional Modifier None Typical Low $100.00 Median $295.12 Typical High $794.33 | Professional | None | $100.00 | $295.12 | $794.33 |
United Setting Facility Modifier None Typical Low $177.83 Median $338.84 Typical High $501.19 | Facility | None | $177.83 | $338.84 | $501.19 |
United Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $426.58 | Professional | None | $100.00 | $151.36 | $426.58 |
Well Sense Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $316.23 | Facility | None | $109.65 | $181.97 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $125.89 | Professional | None | $97.72 | $104.71 | $125.89 |
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 HP · Doctoral level Typical Low $181.97 Median $181.97 Typical High $199.53 | Facility | HP · Doctoral level | $181.97 | $181.97 | $199.53 |
Fallon Health Setting Facility Modifier U9 · State-defined Typical Low $181.97 Median $181.97 Typical High $199.53 | Facility | U9 · State-defined | $181.97 | $181.97 | $199.53 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | HP · Doctoral level | $151.36 | $181.97 | $181.97 |
Fallon Health Setting Professional Modifier U9 · State-defined Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | U9 · State-defined | $181.97 | $181.97 | $181.97 |
Well Sense Setting Facility Modifier AF · Specialist physician Typical Low $181.97 Median $181.97 Typical High $223.87 | Facility | AF · Specialist physician | $181.97 | $181.97 | $223.87 |
Where Massachusetts sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 21st of 51
$135
AK $245OH $102
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.