How much rates vary
Facilitymedian $59 · 10th to 90th $7 to $3,467Professionalmedian $14 · 10th to 90th $12 to $35
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 $18.20 Median $18.20 Typical High $147.91 | Facility | None | $18.20 | $18.20 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | None | $15.49 | $18.20 | $18.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $100.00 | Facility | None | $41.69 | $77.62 | $100.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $8.32 Median $42.66 Typical High $44.67 | Professional | None | $8.32 | $42.66 | $44.67 |
AllWays Health Partners Setting Professional Modifier HM · Below bachelor's level Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | HM · Below bachelor's level | $11.22 | $11.22 | $11.22 |
AllWays Health Partners Setting Professional Modifier HN · Bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HN · Bachelor's level | $12.59 | $12.59 | $12.59 |
AllWays Health Partners Setting Professional Modifier HO · Master's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HO · Master's level | $14.79 | $14.79 | $14.79 |
AllWays Health Partners Setting Professional Modifier HP · Doctoral level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HP · Doctoral level | $14.79 | $14.79 | $14.79 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $15.49 | Professional | None | $6.03 | $10.00 | $15.49 |
Fallon Health Setting Facility Modifier None Typical Low $6.17 Median $7.24 Typical High $5,888.44 | Facility | None | $6.17 | $7.24 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $6.17 Median $7.24 Typical High $13.80 | Professional | None | $6.17 | $7.24 | $13.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $19.50 | Professional | None | $12.02 | $12.02 | $19.50 |
Harvard Pilgrim Setting Professional Modifier HM · Below bachelor's level Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | HM · Below bachelor's level | $11.22 | $11.22 | $11.22 |
Harvard Pilgrim Setting Professional Modifier HN · Bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HN · Bachelor's level | $12.59 | $12.59 | $12.59 |
Harvard Pilgrim Setting Professional Modifier HO · Master's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HO · Master's level | $14.79 | $14.79 | $14.79 |
Harvard Pilgrim Setting Professional Modifier HP · Doctoral level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HP · Doctoral level | $14.79 | $14.79 | $14.79 |
Health New England Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $112.20 | Professional | None | $83.18 | $112.20 | $112.20 |
Mass General Brigham Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $100.00 | Facility | None | $41.69 | $77.62 | $100.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $8.32 Median $42.66 Typical High $44.67 | Professional | None | $8.32 | $42.66 | $44.67 |
Mass General Brigham Setting Professional Modifier HM · Below bachelor's level Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | HM · Below bachelor's level | $11.22 | $11.22 | $11.22 |
Mass General Brigham Setting Professional Modifier HN · Bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HN · Bachelor's level | $12.59 | $12.59 | $12.59 |
Mass General Brigham Setting Professional Modifier HO · Master's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HO · Master's level | $14.79 | $14.79 | $14.79 |
Mass General Brigham Setting Professional Modifier HP · Doctoral level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HP · Doctoral level | $14.79 | $14.79 | $14.79 |
Tufts Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
United Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $147.91 | Facility | None | $52.48 | $100.00 | $147.91 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $19.05 | Professional | None | $5.25 | $7.59 | $19.05 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | HM · Below bachelor's level | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HN · Bachelor's level | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier HO · Master's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HO · Master's level | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier HP · Doctoral level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HP · Doctoral level | $14.79 | $14.79 | $14.79 |
Well Sense Setting Facility Modifier None Typical Low $13.80 Median $2,137.96 Typical High $4,897.79 | Facility | None | $13.80 | $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 |
1 more rate 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 Professional Modifier TL · Early intervention Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | TL · Early intervention | $13.80 | $13.80 | $13.80 |
Where Massachusetts sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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· 11th of 51
$14.45
DC $21.88AL $2.00
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.