How much rates vary
Facilitymedian $72 · 10th to 90th $35 to $162Professionalmedian $62 · 10th to 90th $41 to $91
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 $60.26 Typical High $69.18 | Facility | None | $57.54 | $60.26 | $69.18 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $28.84 Median $29.51 Typical High $31.62 | Facility | 52 · Reduced service | $28.84 | $29.51 | $31.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $12.59 | Facility | 53 · Discontinued | $11.48 | $12.02 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $87.10 | Professional | None | $57.54 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $28.84 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $12.02 | $12.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $144.54 | Facility | None | $50.12 | $120.23 | $144.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $60.26 Median $154.88 Typical High $371.54 | Professional | None | $60.26 | $154.88 | $371.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $48.98 Median $131.83 Typical High $190.55 | Facility | None | $48.98 | $131.83 | $190.55 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $81.28 | Professional | None | $48.98 | $63.10 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $141.25 | Professional | None | $52.48 | $60.26 | $141.25 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $61.66 Typical High $91.20 | Facility | None | $29.51 | $61.66 | $91.20 |
Fallon Health Setting Professional Modifier None Typical Low $42.66 Median $91.20 Typical High $91.20 | Professional | None | $42.66 | $91.20 | $91.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $93.33 | Professional | None | $40.74 | $51.29 | $93.33 |
Health New England Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $34.67 | Facility | None | $32.36 | $32.36 | $34.67 |
Health New England Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $144.54 | Facility | None | $50.12 | $120.23 | $144.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $60.26 Median $154.88 Typical High $371.54 | Professional | None | $60.26 | $154.88 | $371.54 |
United Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $229.09 | Professional | None | $60.26 | $81.28 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $51.29 Median $91.20 Typical High $158.49 | Facility | None | $51.29 | $91.20 | $158.49 |
Well Sense Setting Professional Modifier None Typical Low $44.67 Median $46.77 Typical High $54.95 | Professional | None | $44.67 | $46.77 | $54.95 |
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 $91.20 Median $91.20 Typical High $91.20 | Facility | HP · Doctoral level | $91.20 | $91.20 | $91.20 |
Fallon Health Setting Facility Modifier U9 · State-defined Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | U9 · State-defined | $91.20 | $91.20 | $91.20 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | HP · Doctoral level | $91.20 | $91.20 | $91.20 |
Fallon Health Setting Professional Modifier U9 · State-defined Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | U9 · State-defined | $91.20 | $91.20 | $91.20 |
Well Sense Setting Facility Modifier AF · Specialist physician Typical Low $91.20 Median $91.20 Typical High $112.20 | Facility | AF · Specialist physician | $91.20 | $91.20 | $112.20 |
Where Massachusetts sits
The same service costs 2.6 times more in Alaska 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· 20th of 51
$63.10
AK $110AZ $42.66
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.