How much rates vary
Facilitymedian $58 · 10th to 90th $24 to $3,311Professionalmedian $26 · 10th to 90th $25 to $102
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 $134.90 Typical High $134.90 | Professional | None | $31.62 | $134.90 | $134.90 |
AllWays Health Partners Setting Professional Modifier HN · Bachelor's level Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | HN · Bachelor's level | $17.78 | $17.78 | $17.78 |
AllWays Health Partners Setting Professional Modifier HO · Master's level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HO · Master's level | $20.89 | $20.89 | $20.89 |
AllWays Health Partners Setting Professional Modifier HP · Doctoral level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HP · Doctoral level | $20.89 | $20.89 | $20.89 |
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 $33.11 Median $33.11 Typical High $34.67 | Professional | None | $33.11 | $33.11 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $45.71 Typical High $48.98 | Professional | None | $19.05 | $45.71 | $48.98 |
Fallon Health Setting Facility Modifier None Typical Low $36.31 Median $42.66 Typical High $5,888.44 | Facility | None | $36.31 | $42.66 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $42.66 | Professional | None | $30.90 | $36.31 | $42.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $57.54 | Professional | None | $26.30 | $26.30 | $57.54 |
Harvard Pilgrim Setting Professional Modifier HN · Bachelor's level Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | HN · Bachelor's level | $17.78 | $17.78 | $17.78 |
Harvard Pilgrim Setting Professional Modifier HO · Master's level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HO · Master's level | $20.89 | $20.89 | $20.89 |
Harvard Pilgrim Setting Professional Modifier HP · Doctoral level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HP · Doctoral level | $20.89 | $20.89 | $20.89 |
Health New England Setting Professional Modifier None Typical Low $30.90 Median $95.50 Typical High $186.21 | Professional | None | $30.90 | $95.50 | $186.21 |
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 $134.90 Typical High $134.90 | Professional | None | $31.62 | $134.90 | $134.90 |
Mass General Brigham Setting Professional Modifier HN · Bachelor's level Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | HN · Bachelor's level | $17.78 | $17.78 | $17.78 |
Mass General Brigham Setting Professional Modifier HO · Master's level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HO · Master's level | $20.89 | $20.89 | $20.89 |
Mass General Brigham Setting Professional Modifier HP · Doctoral level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HP · Doctoral level | $20.89 | $20.89 | $20.89 |
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 $52.48 Median $100.00 Typical High $147.91 | Facility | None | $52.48 | $100.00 | $147.91 |
United Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $144.54 | Professional | None | $33.88 | $51.29 | $144.54 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | HN · Bachelor's level | $17.78 | $17.78 | $17.78 |
United Setting Professional Modifier HO · Master's level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HO · Master's level | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier HP · Doctoral level Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | HP · Doctoral level | $20.89 | $20.89 | $20.89 |
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 |
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 |
|---|---|---|---|---|---|
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 4.7 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· 23rd of 51
$26.30
WY $52.48AL $11.22
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.