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 $81.28 Median $87.10 Typical High $117.49 | Facility | None | $81.28 | $87.10 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $138.04 | Professional | None | $81.28 | $104.71 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $186.21 Median $239.88 Typical High $602.56 | Facility | None | $186.21 | $239.88 | $602.56 |
AllWays Health Partners Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $588.84 | Professional | None | $102.33 | $114.82 | $588.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $79.43 Median $407.38 Typical High $562.34 | Facility | None | $79.43 | $407.38 | $562.34 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $134.90 | Professional | None | $79.43 | $107.15 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $912.01 | Facility | None | $257.04 | $537.03 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $112.20 | Professional | None | $72.44 | $97.72 | $112.20 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $100.00 Typical High $138.04 | Facility | None | $47.86 | $100.00 | $138.04 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $131.83 | Professional | None | $72.44 | $120.23 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $138.04 | Professional | None | $66.07 | $85.11 | $138.04 |
Health New England Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Health New England Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $186.21 Median $239.88 Typical High $602.56 | Facility | None | $186.21 | $239.88 | $602.56 |
Mass General Brigham Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $588.84 | Professional | None | $102.33 | $114.82 | $588.84 |
United Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $851.14 | Facility | None | $302.00 | $575.44 | $851.14 |
United Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $169.82 | Professional | None | $107.15 | $107.15 | $169.82 |
Well Sense Setting Facility Modifier None Typical Low $75.86 Median $120.23 Typical High $204.17 | Facility | None | $75.86 | $120.23 | $204.17 |
Well Sense Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $81.28 | Professional | None | $64.57 | $67.61 | $81.28 |
2 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 $120.23 Median $120.23 Typical High $144.54 | Facility | HP · Doctoral level | $120.23 | $120.23 | $144.54 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | HP · Doctoral level | $120.23 | $120.23 | $120.23 |
Where Massachusetts sits
The same service costs 2.2 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· 10th of 51
$105
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.