How much rates vary
Facilitymedian $13 · 10th to 90th $7 to $34Professionalmedian $18 · 10th to 90th $12 to $50
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 $12.30 Median $13.49 Typical High $42.66 | Facility | None | $12.30 | $13.49 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $17.38 | Professional | None | $12.30 | $13.49 | $17.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.47 Median $27.54 Typical High $38.02 | Facility | None | $10.47 | $27.54 | $38.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.30 Median $22.39 Typical High $199.53 | Professional | None | $12.30 | $22.39 | $199.53 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.48 Median $30.20 Typical High $42.66 | Facility | None | $11.48 | $30.20 | $42.66 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $31.62 | Professional | None | $11.48 | $15.49 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $36.31 | Professional | None | $14.79 | $16.60 | $36.31 |
Fallon Health Setting Facility Modifier None Typical Low $6.61 Median $12.59 Typical High $16.98 | Facility | None | $6.61 | $12.59 | $16.98 |
Fallon Health Setting Professional Modifier None Typical Low $8.91 Median $14.79 Typical High $22.39 | Professional | None | $8.91 | $14.79 | $22.39 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.59 Median $23.44 Typical High $38.02 | Professional | None | $12.59 | $23.44 | $38.02 |
Health New England Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Health New England Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $23.44 | Professional | None | $16.60 | $18.62 | $23.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.47 Median $27.54 Typical High $38.02 | Facility | None | $10.47 | $27.54 | $38.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.30 Median $22.39 Typical High $199.53 | Professional | None | $12.30 | $22.39 | $199.53 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $11.48 | Facility | None | $10.23 | $10.23 | $11.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.38 Typical High $47.86 | Professional | None | $12.30 | $17.38 | $47.86 |
Well Sense Setting Facility Modifier None Typical Low $9.12 Median $12.30 Typical High $19.05 | Facility | None | $9.12 | $12.30 | $19.05 |
Well Sense Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $12.30 | Professional | None | $9.12 | $10.23 | $12.30 |
4 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 |
|---|---|---|---|---|---|
Fallon Health Setting Facility Modifier HO · Master's level Typical Low $11.48 Median $11.48 Typical High $12.30 | Facility | HO · Master's level | $11.48 | $11.48 | $12.30 |
Fallon Health Setting Facility Modifier HP · Doctoral level Typical Low $15.49 Median $15.49 Typical High $16.60 | Facility | HP · Doctoral level | $15.49 | $15.49 | $16.60 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | HO · Master's level | $11.48 | $11.48 | $12.30 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $15.49 Median $16.22 Typical High $16.60 | Professional | HP · Doctoral level | $15.49 | $16.22 | $16.60 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in New York. 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· 12th of 51
$17.78
AK $30.90NY $9.77
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.