How much rates vary
Facilitymedian $35 · 10th to 90th $17 to $69Professionalmedian $50 · 10th to 90th $23 to $71
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 $23.99 Median $47.86 Typical High $57.54 | Facility | None | $23.99 | $47.86 | $57.54 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $12.02 Median $14.45 Typical High $23.99 | Facility | 52 · Reduced service | $12.02 | $14.45 | $23.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $5.75 Typical High $9.55 | Facility | 53 · Discontinued | $4.79 | $5.75 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $52.48 Typical High $70.79 | Professional | None | $23.99 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $16.98 Typical High $23.99 | Professional | 52 · Reduced service | $12.02 | $16.98 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.76 Typical High $9.55 | Professional | 53 · Discontinued | $4.79 | $6.76 | $9.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $66.07 | Facility | None | $39.81 | $46.77 | $66.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $275.42 | Professional | None | $39.81 | $54.95 | $275.42 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $23.44 Median $30.20 Typical High $48.98 | Facility | None | $23.44 | $30.20 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $23.44 Median $51.29 Typical High $51.29 | Professional | None | $23.44 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $52.48 | Professional | None | $33.88 | $47.86 | $52.48 |
Fallon Health Setting Facility Modifier None Typical Low $14.13 Median $30.20 Typical High $67.61 | Facility | None | $14.13 | $30.20 | $67.61 |
Fallon Health Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $58.88 | Professional | None | $36.31 | $50.12 | $58.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.50 Median $39.81 Typical High $54.95 | Professional | None | $19.50 | $39.81 | $54.95 |
Health New England Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Health New England Setting Professional Modifier None Typical Low $109.65 Median $281.84 Typical High $302.00 | Professional | None | $109.65 | $281.84 | $302.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $66.07 | Facility | None | $39.81 | $46.77 | $66.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $39.81 Median $54.95 Typical High $275.42 | Professional | None | $39.81 | $54.95 | $275.42 |
Tufts Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $74.13 | Professional | None | $42.66 | $50.12 | $74.13 |
Well Sense Setting Facility Modifier None Typical Low $22.39 Median $50.12 Typical High $85.11 | Facility | None | $22.39 | $50.12 | $85.11 |
Well Sense Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $44.67 | Professional | None | $18.62 | $22.39 | $44.67 |
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 $50.12 Median $54.95 Typical High $72.44 | Facility | HP · Doctoral level | $50.12 | $54.95 | $72.44 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | HP · Doctoral level | $50.12 | $53.70 | $53.70 |
Where Massachusetts sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 4th of 51
$50.12
HI $63.10DC $26.92
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.