How much rates vary
Facilitymedian $32 · 10th to 90th $17 to $50Professionalmedian $44 · 10th to 90th $28 to $195
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 $28.18 Median $32.36 Typical High $33.88 | Facility | None | $28.18 | $32.36 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $43.65 | Professional | None | $28.18 | $32.36 | $43.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $26.92 Median $29.51 Typical High $70.79 | Facility | None | $26.92 | $29.51 | $70.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $30.20 Median $58.88 Typical High $194.98 | Professional | None | $30.20 | $58.88 | $194.98 |
AllWays Health Partners Setting Professional Modifier 25 · Same-day visit Typical Low $14.13 Median $22.39 Typical High $44.67 | Professional | 25 · Same-day visit | $14.13 | $22.39 | $44.67 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $66.07 | Facility | None | $28.84 | $28.84 | $66.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $81.28 | Professional | None | $28.84 | $36.31 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $66.07 | Professional | None | $33.11 | $34.67 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $16.60 Median $29.51 Typical High $42.66 | Facility | None | $16.60 | $29.51 | $42.66 |
Fallon Health Setting Professional Modifier None Typical Low $20.89 Median $35.48 Typical High $53.70 | Professional | None | $20.89 | $35.48 | $53.70 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $31.62 Median $58.88 Typical High $91.20 | Professional | None | $31.62 | $58.88 | $91.20 |
Health New England Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $93.33 | Facility | None | $34.67 | $34.67 | $93.33 |
Health New England Setting Professional Modifier None Typical Low $61.66 Median $245.47 Typical High $489.78 | Professional | None | $61.66 | $245.47 | $489.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $26.92 Median $29.51 Typical High $70.79 | Facility | None | $26.92 | $29.51 | $70.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $30.20 Median $58.88 Typical High $194.98 | Professional | None | $30.20 | $58.88 | $194.98 |
Mass General Brigham Setting Professional Modifier 25 · Same-day visit Typical Low $14.13 Median $22.39 Typical High $44.67 | Professional | 25 · Same-day visit | $14.13 | $22.39 | $44.67 |
Tufts Setting Professional Modifier None Typical Low $19.50 Median $31.62 Typical High $64.57 | Professional | None | $19.50 | $31.62 | $64.57 |
United Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $93.33 | Professional | None | $34.67 | $43.65 | $93.33 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $38.90 Typical High $50.12 | Facility | None | $22.91 | $38.90 | $50.12 |
Well Sense Setting Professional Modifier None Typical Low $22.39 Median $44.67 Typical High $3,019.95 | Professional | None | $22.39 | $44.67 | $3,019.95 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $16.22 Typical High $16.98 | Professional | 52 · Reduced service | $15.49 | $16.22 | $16.98 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $26.30 Median $29.51 Typical High $32.36 | Facility | SA · Nurse practitioner | $26.30 | $29.51 | $32.36 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $26.30 Median $34.67 Typical High $36.31 | Facility | U6 · State-defined | $26.30 | $34.67 | $36.31 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | SA · Nurse practitioner | $26.30 | $26.30 | $30.90 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $26.30 Median $34.67 Typical High $36.31 | Professional | U6 · State-defined | $26.30 | $34.67 | $36.31 |
Where Massachusetts sits
The same service costs 2.5 times more in Alaska than in New York. 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
$43.65
AK $60.26NY $23.99
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.