How much rates vary
Facilitymedian $65 · 10th to 90th $31 to $3,467Professionalmedian $26 · 10th to 90th $25 to $141
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 $25.12 Median $25.12 Typical High $147.91 | Facility | None | $25.12 | $25.12 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | None | $21.88 | $25.12 | $25.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $102.33 | Facility | None | $77.62 | $91.20 | $102.33 |
AllWays Health Partners Setting Professional Modifier None Typical Low $32.36 Median $208.93 Typical High $257.04 | Professional | None | $32.36 | $208.93 | $257.04 |
AllWays Health Partners Setting Professional Modifier HN · Bachelor's level Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | HN · Bachelor's level | $30.90 | $30.90 | $30.90 |
AllWays Health Partners Setting Professional Modifier HO · Master's level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HO · Master's level | $36.31 | $36.31 | $36.31 |
AllWays Health Partners Setting Professional Modifier HP · Doctoral level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HP · Doctoral level | $36.31 | $36.31 | $36.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $46.77 Median $58.88 Typical High $79.43 | Facility | None | $46.77 | $58.88 | $79.43 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $63.10 Typical High $79.43 | Professional | None | $20.89 | $63.10 | $79.43 |
Fallon Health Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $5,888.44 | Facility | None | $54.95 | $64.57 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $64.57 | Professional | None | $30.90 | $54.95 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $60.26 | Professional | None | $26.30 | $26.30 | $60.26 |
Harvard Pilgrim Setting Professional Modifier HN · Bachelor's level Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | HN · Bachelor's level | $30.90 | $30.90 | $30.90 |
Harvard Pilgrim Setting Professional Modifier HO · Master's level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HO · Master's level | $36.31 | $36.31 | $36.31 |
Harvard Pilgrim Setting Professional Modifier HP · Doctoral level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HP · Doctoral level | $36.31 | $36.31 | $36.31 |
Health New England Setting Professional Modifier None Typical Low $30.90 Median $123.03 Typical High $338.84 | Professional | None | $30.90 | $123.03 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $102.33 | Facility | None | $77.62 | $91.20 | $102.33 |
Mass General Brigham Setting Professional Modifier None Typical Low $32.36 Median $208.93 Typical High $257.04 | Professional | None | $32.36 | $208.93 | $257.04 |
Mass General Brigham Setting Professional Modifier HN · Bachelor's level Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | HN · Bachelor's level | $30.90 | $30.90 | $30.90 |
Mass General Brigham Setting Professional Modifier HO · Master's level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HO · Master's level | $36.31 | $36.31 | $36.31 |
Mass General Brigham Setting Professional Modifier HP · Doctoral level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HP · Doctoral level | $36.31 | $36.31 | $36.31 |
Tufts Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
United Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $398.11 | Facility | None | $141.25 | $269.15 | $398.11 |
United Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $199.53 | Professional | None | $46.77 | $70.79 | $199.53 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | HN · Bachelor's level | $30.90 | $30.90 | $30.90 |
United Setting Professional Modifier HO · Master's level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HO · Master's level | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier HP · Doctoral level Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | HP · Doctoral level | $36.31 | $36.31 | $36.31 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $2,137.96 Typical High $4,897.79 | Facility | None | $30.90 | $2,137.96 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
3 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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Fallon Health Setting Professional Modifier TL · Early intervention Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | TL · Early intervention | $30.90 | $30.90 | $30.90 |
Well Sense Setting Facility Modifier TM · School education plan Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TM · School education plan | $23.99 | $23.99 | $23.99 |
Where Massachusetts sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 30th of 51
$26.30
WY $70.79WV $14.79
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.