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 $41.69 Median $43.65 Typical High $61.66 | Facility | None | $41.69 | $43.65 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $64.57 | Professional | None | $43.65 | $52.48 | $64.57 |
AllWays Health Partners Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $41.69 | Facility | None | $33.11 | $39.81 | $41.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $112.20 | Professional | None | $31.62 | $47.86 | $112.20 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | None | $44.67 | $58.88 | $123.03 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $60.26 | Facility | None | $25.70 | $42.66 | $60.26 |
Fallon Health Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $69.18 | Professional | None | $26.30 | $44.67 | $69.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $114.82 | Professional | None | $41.69 | $50.12 | $114.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $41.69 | Facility | None | $33.11 | $39.81 | $41.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $112.20 | Professional | None | $31.62 | $47.86 | $112.20 |
United Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $134.90 | Professional | None | $38.02 | $58.88 | $134.90 |
Well Sense Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $66.07 | Facility | None | $29.51 | $39.81 | $66.07 |
Well Sense Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | None | $30.90 | $30.90 | $37.15 |
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 |
|---|---|---|---|---|---|
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $39.81 Median $43.65 Typical High $50.12 | Facility | SA · Nurse practitioner | $39.81 | $43.65 | $50.12 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $39.81 Median $39.81 Typical High $43.65 | Facility | TD · Registered nurse | $39.81 | $39.81 | $43.65 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $47.86 Median $50.12 Typical High $60.26 | Facility | U6 · State-defined | $47.86 | $50.12 | $60.26 |
Where Massachusetts sits
The same service costs 2.5 times more in North Dakota 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· 19th of 51
$45.71
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.