How much rates vary
Facilitymedian $58 · 10th to 90th $24 to $3,388Professionalmedian $26 · 10th to 90th $25 to $100
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 $20.89 Median $25.12 Typical High $25.12 | Professional | None | $20.89 | $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 $31.62 Median $154.88 Typical High $173.78 | Professional | None | $31.62 | $154.88 | $173.78 |
AllWays Health Partners Setting Professional Modifier HN · Bachelor's level Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | HN · Bachelor's level | $19.95 | $19.95 | $19.95 |
AllWays Health Partners Setting Professional Modifier HO · Master's level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HO · Master's level | $23.44 | $23.44 | $23.44 |
AllWays Health Partners Setting Professional Modifier HP · Doctoral level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HP · Doctoral level | $23.44 | $23.44 | $23.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $83.18 | Facility | None | $47.86 | $60.26 | $83.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $36.31 | Professional | None | $34.67 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $42.66 Typical High $45.71 | Professional | None | $19.05 | $42.66 | $45.71 |
Fallon Health Setting Facility Modifier None Typical Low $45.71 Median $53.70 Typical High $5,888.44 | Facility | None | $45.71 | $53.70 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $53.70 | Professional | None | $30.90 | $45.71 | $53.70 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $56.23 | Professional | None | $26.30 | $26.30 | $56.23 |
Harvard Pilgrim Setting Professional Modifier HN · Bachelor's level Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | HN · Bachelor's level | $19.95 | $19.95 | $19.95 |
Harvard Pilgrim Setting Professional Modifier HO · Master's level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HO · Master's level | $23.44 | $23.44 | $23.44 |
Harvard Pilgrim Setting Professional Modifier HP · Doctoral level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HP · Doctoral level | $23.44 | $23.44 | $23.44 |
Health New England Setting Professional Modifier None Typical Low $93.33 Median $213.80 Typical High $338.84 | Professional | None | $93.33 | $213.80 | $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 $31.62 Median $154.88 Typical High $173.78 | Professional | None | $31.62 | $154.88 | $173.78 |
Mass General Brigham Setting Professional Modifier HN · Bachelor's level Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | HN · Bachelor's level | $19.95 | $19.95 | $19.95 |
Mass General Brigham Setting Professional Modifier HO · Master's level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HO · Master's level | $23.44 | $23.44 | $23.44 |
Mass General Brigham Setting Professional Modifier HP · Doctoral level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HP · Doctoral level | $23.44 | $23.44 | $23.44 |
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 $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $138.04 | Professional | None | $32.36 | $48.98 | $138.04 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | HN · Bachelor's level | $19.95 | $19.95 | $19.95 |
United Setting Professional Modifier HO · Master's level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HO · Master's level | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier HP · Doctoral level Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | HP · Doctoral level | $23.44 | $23.44 | $23.44 |
Well Sense Setting Facility Modifier None Typical Low $23.99 Median $30.90 Typical High $3,890.45 | Facility | None | $23.99 | $30.90 | $3,890.45 |
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 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $6.92 |
BCBS Massachusetts Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $3.47 |
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 |
Where Massachusetts sits
The same service costs 3.4 times more in Wyoming 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· 25th of 51
$26.30
WY $48.98AL $14.45
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.