How much rates vary
Facilitymedian $71 · 10th to 90th $29 to $3,631Professionalmedian $25 · 10th to 90th $22 to $74
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 $24.55 Median $24.55 Typical High $147.91 | Facility | None | $24.55 | $24.55 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $24.55 | Professional | None | $21.38 | $24.55 | $24.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $83.18 Typical High $100.00 | Facility | None | $77.62 | $83.18 | $100.00 |
AllWays Health Partners Setting Professional Modifier None Typical Low $26.30 Median $144.54 Typical High $234.42 | Professional | None | $26.30 | $144.54 | $234.42 |
AllWays Health Partners Setting Professional Modifier HN · Bachelor's level Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | HN · Bachelor's level | $8.51 | $8.51 | $8.51 |
AllWays Health Partners Setting Professional Modifier HO · Master's level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HO · Master's level | $10.00 | $10.00 | $10.00 |
AllWays Health Partners Setting Professional Modifier HP · Doctoral level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HP · Doctoral level | $10.00 | $10.00 | $10.00 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $38.90 Typical High $41.69 | Professional | None | $19.05 | $38.90 | $41.69 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $5,888.44 | Facility | None | $47.86 | $56.23 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $56.23 | Professional | None | $26.30 | $47.86 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $43.65 | Professional | None | $22.39 | $22.39 | $43.65 |
Harvard Pilgrim Setting Professional Modifier HN · Bachelor's level Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | HN · Bachelor's level | $8.51 | $8.51 | $8.51 |
Harvard Pilgrim Setting Professional Modifier HO · Master's level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HO · Master's level | $10.00 | $10.00 | $10.00 |
Harvard Pilgrim Setting Professional Modifier HP · Doctoral level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HP · Doctoral level | $10.00 | $10.00 | $10.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $83.18 Typical High $100.00 | Facility | None | $77.62 | $83.18 | $100.00 |
Mass General Brigham Setting Professional Modifier None Typical Low $26.30 Median $144.54 Typical High $234.42 | Professional | None | $26.30 | $144.54 | $234.42 |
Mass General Brigham Setting Professional Modifier HN · Bachelor's level Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | HN · Bachelor's level | $8.51 | $8.51 | $8.51 |
Mass General Brigham Setting Professional Modifier HO · Master's level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HO · Master's level | $10.00 | $10.00 | $10.00 |
Mass General Brigham Setting Professional Modifier HP · Doctoral level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HP · Doctoral level | $10.00 | $10.00 | $10.00 |
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 $20.42 Median $30.20 Typical High $85.11 | Professional | None | $20.42 | $30.20 | $85.11 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | HN · Bachelor's level | $8.51 | $8.51 | $8.51 |
United Setting Professional Modifier HO · Master's level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HO · Master's level | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier HP · Doctoral level Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | HP · Doctoral level | $10.00 | $10.00 | $10.00 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $3,630.78 Typical High $3,890.45 | Facility | None | $26.30 | $3,630.78 | $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 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | TL · Early intervention | $26.30 | $26.30 | $26.30 |
Where Massachusetts sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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
$24.55
NC $53.70OH $4.07
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.