How much rates vary
Facilitymedian $15 · 10th to 90th $7 to $63Professionalmedian $19 · 10th to 90th $12 to $43
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 $12.59 Median $14.79 Typical High $30.90 | Facility | None | $12.59 | $14.79 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $26.30 | Professional | None | $12.59 | $14.79 | $26.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $10.96 Median $27.54 Typical High $67.61 | Facility | None | $10.96 | $27.54 | $67.61 |
AllWays Health Partners Setting Professional Modifier None Typical Low $13.18 Median $27.54 Typical High $199.53 | Professional | None | $13.18 | $27.54 | $199.53 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.75 Median $53.70 Typical High $74.13 | Facility | None | $11.75 | $53.70 | $74.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $11.75 Median $17.38 Typical High $30.20 | Professional | None | $11.75 | $17.38 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $31.62 | Professional | None | $12.88 | $16.22 | $31.62 |
Fallon Health Setting Facility Modifier None Typical Low $6.61 Median $11.75 Typical High $17.38 | Facility | None | $6.61 | $11.75 | $17.38 |
Fallon Health Setting Professional Modifier None Typical Low $10.00 Median $17.38 Typical High $26.30 | Professional | None | $10.00 | $17.38 | $26.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.88 Median $25.12 Typical High $41.69 | Professional | None | $12.88 | $25.12 | $41.69 |
Health New England Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $97.72 | Facility | None | $25.70 | $25.70 | $97.72 |
Health New England Setting Professional Modifier None Typical Low $15.49 Median $23.99 Typical High $28.18 | Professional | None | $15.49 | $23.99 | $28.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $10.96 Median $27.54 Typical High $67.61 | Facility | None | $10.96 | $27.54 | $67.61 |
Mass General Brigham Setting Professional Modifier None Typical Low $13.18 Median $27.54 Typical High $199.53 | Professional | None | $13.18 | $27.54 | $199.53 |
Tufts Setting Facility Modifier None Typical Low $8.71 Median $53.70 Typical High $426.58 | Facility | None | $8.71 | $53.70 | $426.58 |
Tufts Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $28.84 | Professional | None | $11.22 | $15.14 | $28.84 |
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 $11.48 Median $18.62 Typical High $39.81 | Professional | None | $11.48 | $18.62 | $39.81 |
Well Sense Setting Facility Modifier None Typical Low $9.55 Median $13.18 Typical High $20.42 | Facility | None | $9.55 | $13.18 | $20.42 |
Well Sense Setting Professional Modifier None Typical Low $8.91 Median $10.00 Typical High $12.02 | Professional | None | $8.91 | $10.00 | $12.02 |
5 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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 93 · Audio-only telehealth Typical Low $17.38 Median $24.55 Typical High $33.11 | Professional | 93 · Audio-only telehealth | $17.38 | $24.55 | $33.11 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $14.79 Median $14.79 Typical High $15.85 | Facility | TD · Registered nurse | $14.79 | $14.79 | $15.85 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $14.79 Median $15.85 Typical High $15.85 | Professional | SA · Nurse practitioner | $14.79 | $15.85 | $15.85 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | TD · Registered nurse | $14.79 | $14.79 | $15.85 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $17.38 Median $18.62 Typical High $18.62 | Professional | U6 · State-defined | $17.38 | $18.62 | $18.62 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 10th of 51
$19.05
AK $31.62DC $11.48
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.