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 $87.10 Median $89.13 Typical High $125.89 | Facility | None | $87.10 | $89.13 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $138.04 | Professional | None | $89.13 | $107.15 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $107.15 | Facility | None | $89.13 | $107.15 | $107.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $263.03 | Professional | None | $79.43 | $125.89 | $263.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $323.59 | Professional | None | $123.03 | $147.91 | $323.59 |
Fallon Health Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $154.88 | Facility | None | $64.57 | $117.49 | $154.88 |
Fallon Health Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $186.21 | Professional | None | $72.44 | $114.82 | $186.21 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $309.03 | Professional | None | $93.33 | $138.04 | $309.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $107.15 | Facility | None | $89.13 | $107.15 | $107.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $263.03 | Professional | None | $79.43 | $125.89 | $263.03 |
United Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $309.03 | Professional | None | $85.11 | $131.83 | $309.03 |
Well Sense Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $162.18 | Facility | None | $79.43 | $107.15 | $162.18 |
Well Sense Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | None | $63.10 | $63.10 | $74.13 |
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 $104.71 Median $109.65 Typical High $117.49 | Facility | SA · Nurse practitioner | $104.71 | $109.65 | $117.49 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $109.65 Median $109.65 Typical High $117.49 | Facility | TD · Registered nurse | $109.65 | $109.65 | $117.49 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $123.03 Median $128.82 Typical High $138.04 | Facility | U6 · State-defined | $123.03 | $128.82 | $138.04 |
Where Massachusetts sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 16th of 51
$115
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.