How much rates vary
Facilitymedian $26 · 10th to 90th $15 to $43Professionalmedian $40 · 10th to 90th $25 to $93
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 $26.92 Median $26.92 Typical High $30.90 | Facility | None | $26.92 | $26.92 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $30.90 | Professional | None | $26.92 | $28.18 | $30.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.91 Median $25.12 Typical High $60.26 | Facility | None | $22.91 | $25.12 | $60.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $181.97 | Professional | None | $28.18 | $50.12 | $181.97 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $56.23 | Facility | None | $24.55 | $24.55 | $56.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $60.26 | Professional | None | $24.55 | $34.67 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $64.57 | Professional | None | $33.11 | $33.11 | $64.57 |
Fallon Health Setting Facility Modifier None Typical Low $14.13 Median $25.70 Typical High $36.31 | Facility | None | $14.13 | $25.70 | $36.31 |
Fallon Health Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $52.48 | Professional | None | $19.95 | $30.20 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $85.11 | Professional | None | $26.92 | $52.48 | $85.11 |
Health New England Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.91 Median $25.12 Typical High $60.26 | Facility | None | $22.91 | $25.12 | $60.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $181.97 | Professional | None | $28.18 | $50.12 | $181.97 |
United Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $85.11 | Professional | None | $28.18 | $38.90 | $85.11 |
Well Sense Setting Facility Modifier None Typical Low $20.42 Median $27.54 Typical High $43.65 | Facility | None | $20.42 | $27.54 | $43.65 |
Well Sense Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $28.84 | Professional | None | $20.89 | $23.99 | $28.84 |
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 $25.70 Median $25.70 Typical High $27.54 | Facility | HO · Master's level | $25.70 | $25.70 | $27.54 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $29.51 Median $29.51 Typical High $31.62 | Facility | SA · Nurse practitioner | $29.51 | $29.51 | $31.62 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $29.51 Median $29.51 Typical High $31.62 | Facility | TD · Registered nurse | $29.51 | $29.51 | $31.62 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $34.67 Median $34.67 Typical High $37.15 | Facility | U6 · State-defined | $34.67 | $34.67 | $37.15 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | HO · Master's level | $25.70 | $25.70 | $27.54 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | SA · Nurse practitioner | $29.51 | $29.51 | $31.62 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $29.51 Median $30.20 Typical High $31.62 | Professional | TD · Registered nurse | $29.51 | $30.20 | $31.62 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $34.67 Median $34.67 Typical High $37.15 | Professional | U6 · State-defined | $34.67 | $34.67 | $37.15 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in New Jersey. 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
$38.90
AK $66.07NJ $23.44
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.