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 $30.90 Median $34.67 Typical High $44.67 | Facility | None | $30.90 | $34.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $52.48 | Professional | None | $33.88 | $38.90 | $52.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $67.61 Median $83.18 Typical High $91.20 | Facility | None | $67.61 | $83.18 | $91.20 |
AllWays Health Partners Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $741.31 | Professional | None | $31.62 | $31.62 | $741.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $30.20 Median $77.62 Typical High $107.15 | Facility | None | $30.20 | $77.62 | $107.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $39.81 | Professional | None | $22.91 | $29.51 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $75.86 | Professional | None | $35.48 | $38.02 | $75.86 |
Fallon Health Setting Facility Modifier None Typical Low $17.38 Median $33.88 Typical High $45.71 | Facility | None | $17.38 | $33.88 | $45.71 |
Fallon Health Setting Professional Modifier None Typical Low $21.88 Median $37.15 Typical High $57.54 | Professional | None | $21.88 | $37.15 | $57.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $42.66 | Professional | None | $25.12 | $31.62 | $42.66 |
Health New England Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $61.66 | Professional | None | $34.67 | $34.67 | $61.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $67.61 Median $83.18 Typical High $91.20 | Facility | None | $67.61 | $83.18 | $91.20 |
Mass General Brigham Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $741.31 | Professional | None | $31.62 | $31.62 | $741.31 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Professional | None | $31.62 | $31.62 | $42.66 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $35.48 Typical High $58.88 | Facility | None | $25.70 | $35.48 | $58.88 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $30.90 | Professional | None | $24.55 | $25.70 | $30.90 |
2 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 Professional Modifier SA · Nurse practitioner Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | SA · Nurse practitioner | $39.81 | $39.81 | $41.69 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | U6 · State-defined | $39.81 | $39.81 | $41.69 |
Where Massachusetts sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 23rd of 51
$31.62
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.