How much rates vary
Facilitymedian $13 · 10th to 90th $7 to $21Professionalmedian $19 · 10th to 90th $12 to $45
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 $13.18 Median $13.18 Typical High $15.49 | Facility | None | $13.18 | $13.18 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $23.99 | Professional | None | $13.18 | $15.49 | $23.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $29.51 | Facility | None | $11.22 | $12.30 | $29.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $93.33 | Professional | None | $14.13 | $25.70 | $93.33 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $27.54 | Facility | None | $12.02 | $12.02 | $27.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $30.90 | Professional | None | $12.02 | $17.78 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $33.11 | Professional | None | $16.98 | $16.98 | $33.11 |
Fallon Health Setting Facility Modifier None Typical Low $6.92 Median $13.18 Typical High $17.78 | Facility | None | $6.92 | $13.18 | $17.78 |
Fallon Health Setting Professional Modifier None Typical Low $10.23 Median $15.49 Typical High $26.30 | Professional | None | $10.23 | $15.49 | $26.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $13.18 Median $25.70 Typical High $43.65 | Professional | None | $13.18 | $25.70 | $43.65 |
Health New England Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $22.91 | Professional | None | $13.80 | $16.60 | $22.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.22 Median $12.30 Typical High $29.51 | Facility | None | $11.22 | $12.30 | $29.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $93.33 | Professional | None | $14.13 | $25.70 | $93.33 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $40.74 | Professional | None | $13.80 | $19.50 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $10.47 Median $13.80 Typical High $21.88 | Facility | None | $10.47 | $13.80 | $21.88 |
Well Sense Setting Professional Modifier None Typical Low $10.23 Median $12.02 Typical High $14.45 | Professional | None | $10.23 | $12.02 | $14.45 |
8 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 HO · Master's level Typical Low $13.18 Median $13.18 Typical High $14.13 | Facility | HO · Master's level | $13.18 | $13.18 | $14.13 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $15.14 Median $15.14 Typical High $16.22 | Facility | SA · Nurse practitioner | $15.14 | $15.14 | $16.22 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $15.14 Median $15.14 Typical High $16.22 | Facility | TD · Registered nurse | $15.14 | $15.14 | $16.22 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $17.78 Median $17.78 Typical High $19.05 | Facility | U6 · State-defined | $17.78 | $17.78 | $19.05 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | HO · Master's level | $13.18 | $13.18 | $14.13 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $15.14 Median $15.14 Typical High $16.22 | Professional | SA · Nurse practitioner | $15.14 | $15.14 | $16.22 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $15.14 Median $15.49 Typical High $16.22 | Professional | TD · Registered nurse | $15.14 | $15.49 | $16.22 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | U6 · State-defined | $17.78 | $17.78 | $19.05 |
Where Massachusetts sits
The same service costs 2.9 times more in Alaska than in Kentucky. 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· 13th of 51
$19.50
AK $33.88KY $11.75
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.