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 $63.10 Median $69.18 Typical High $85.11 | Facility | None | $63.10 | $69.18 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $100.00 | Professional | None | $69.18 | $75.86 | $100.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $87.10 Median $165.96 Typical High $181.97 | Facility | None | $87.10 | $165.96 | $181.97 |
AllWays Health Partners Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $1,122.02 | Professional | None | $61.66 | $61.66 | $1,122.02 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $61.66 Median $154.88 Typical High $213.80 | Facility | None | $61.66 | $154.88 | $213.80 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $75.86 | Professional | None | $45.71 | $57.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $144.54 | Professional | None | $70.79 | $74.13 | $144.54 |
Fallon Health Setting Facility Modifier None Typical Low $34.67 Median $67.61 Typical High $89.13 | Facility | None | $34.67 | $67.61 | $89.13 |
Fallon Health Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $109.65 | Professional | None | $42.66 | $70.79 | $109.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $83.18 | Professional | None | $50.12 | $61.66 | $83.18 |
Mass General Brigham Setting Facility Modifier None Typical Low $87.10 Median $165.96 Typical High $181.97 | Facility | None | $87.10 | $165.96 | $181.97 |
Mass General Brigham Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $1,122.02 | Professional | None | $61.66 | $61.66 | $1,122.02 |
United Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $83.18 | Professional | None | $61.66 | $61.66 | $83.18 |
Well Sense Setting Facility Modifier None Typical Low $48.98 Median $70.79 Typical High $114.82 | Facility | None | $48.98 | $70.79 | $114.82 |
Well Sense Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $60.26 | Professional | None | $48.98 | $50.12 | $60.26 |
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 $75.86 Median $75.86 Typical High $81.28 | Professional | SA · Nurse practitioner | $75.86 | $75.86 | $81.28 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | U6 · State-defined | $75.86 | $75.86 | $81.28 |
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
$61.66
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.