How much rates vary
Facilitymedian $191 · 10th to 90th $107 to $309Professionalmedian $339 · 10th to 90th $186 to $832
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 $177.83 Median $177.83 Typical High $245.47 | Facility | None | $177.83 | $177.83 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $245.47 | Professional | None | $177.83 | $213.80 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
AllWays Health Partners Setting Professional Modifier None Typical Low $199.53 Median $501.19 Typical High $1,737.80 | Professional | None | $199.53 | $501.19 | $1,737.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $83.18 Median $186.21 Typical High $426.58 | Facility | None | $83.18 | $186.21 | $426.58 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $186.21 Median $338.84 Typical High $575.44 | Professional | None | $186.21 | $338.84 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $602.56 | Professional | None | $213.80 | $316.23 | $602.56 |
Fallon Health Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $275.42 | Facility | None | $102.33 | $162.18 | $275.42 |
Fallon Health Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $501.19 | Professional | None | $194.98 | $331.13 | $501.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $204.17 Median $407.38 Typical High $794.33 | Professional | None | $204.17 | $407.38 | $794.33 |
Health New England Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | None | $436.52 | $436.52 | $478.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $199.53 | Facility | None | $173.78 | $173.78 | $199.53 |
Mass General Brigham Setting Professional Modifier None Typical Low $199.53 Median $501.19 Typical High $1,737.80 | Professional | None | $199.53 | $501.19 | $1,737.80 |
United Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $398.11 | Facility | None | $141.25 | $269.15 | $398.11 |
United Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $741.31 | Professional | None | $194.98 | $309.03 | $741.31 |
Well Sense Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $331.13 | Facility | None | $169.82 | $239.88 | $331.13 |
Well Sense Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $223.87 | Professional | None | $134.90 | $186.21 | $223.87 |
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 $89.13 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $89.13 | $97.72 | $123.03 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $281.84 Median $281.84 Typical High $309.03 | Facility | TD · Registered nurse | $281.84 | $281.84 | $309.03 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | SA · Nurse practitioner | $281.84 | $309.03 | $309.03 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | TD · Registered nurse | $281.84 | $281.84 | $309.03 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $331.13 Median $363.08 Typical High $363.08 | Professional | U6 · State-defined | $331.13 | $363.08 | $363.08 |
Where Massachusetts sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 6th of 51
$339
AK $501AL $186
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.