How much rates vary
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 $23.99 Median $25.70 Typical High $79.43 | Facility | None | $23.99 | $25.70 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $33.11 | Professional | None | $23.99 | $25.70 | $33.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $20.42 Median $53.70 Typical High $72.44 | Facility | None | $20.42 | $53.70 | $72.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $346.74 | Professional | None | $23.44 | $42.66 | $346.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $21.88 Median $60.26 Typical High $85.11 | Facility | None | $21.88 | $60.26 | $85.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $47.86 | Professional | None | $21.88 | $28.18 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $66.07 | Professional | None | $27.54 | $30.20 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $12.59 Median $24.55 Typical High $32.36 | Facility | None | $12.59 | $24.55 | $32.36 |
Fallon Health Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $40.74 | Professional | None | $16.22 | $28.18 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $23.99 Median $45.71 Typical High $70.79 | Professional | None | $23.99 | $45.71 | $70.79 |
Health New England Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $79.43 | Professional | None | $39.81 | $63.10 | $79.43 |
Mass General Brigham Setting Facility Modifier None Typical Low $20.42 Median $53.70 Typical High $72.44 | Facility | None | $20.42 | $53.70 | $72.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.44 Median $42.66 Typical High $346.74 | Professional | None | $23.44 | $42.66 | $346.74 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $21.88 | Facility | None | $19.95 | $19.95 | $21.88 |
United Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $95.50 | Professional | None | $23.99 | $34.67 | $95.50 |
Well Sense Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $37.15 | Facility | None | $17.78 | $22.91 | $37.15 |
Well Sense Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $25.70 | Professional | None | $19.05 | $19.95 | $25.70 |
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 $20.89 Median $20.89 Typical High $22.39 | Facility | HO · Master's level | $20.89 | $20.89 | $22.39 |
Fallon Health Setting Facility Modifier HP · Doctoral level Typical Low $28.18 Median $28.18 Typical High $30.20 | Facility | HP · Doctoral level | $28.18 | $28.18 | $30.20 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $20.89 Median $21.88 Typical High $22.39 | Professional | HO · Master's level | $20.89 | $21.88 | $22.39 |
Fallon Health Setting Professional Modifier HP · Doctoral level Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | HP · Doctoral level | $28.18 | $30.20 | $30.20 |
Where Massachusetts sits
The same service costs 3.5 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· 13th of 51
$34.67
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.