How much rates vary
Facilitymedian $50 · 10th to 90th $27 to $89Professionalmedian $50 · 10th to 90th $32 to $71
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 $32.36 Median $53.70 Typical High $70.79 | Facility | None | $32.36 | $53.70 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $53.70 Typical High $70.79 | Professional | None | $32.36 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $18.20 Typical High $24.55 | Professional | 52 · Reduced service | $16.22 | $18.20 | $24.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $123.03 | Facility | None | $77.62 | $89.13 | $123.03 |
AllWays Health Partners Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $309.03 | Professional | None | $42.66 | $89.13 | $309.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $42.66 Median $57.54 Typical High $93.33 | Facility | None | $42.66 | $57.54 | $93.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $66.07 | Professional | None | $31.62 | $48.98 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $120.23 | Professional | None | $47.86 | $63.10 | $120.23 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $44.67 Typical High $63.10 | Facility | None | $24.55 | $44.67 | $63.10 |
Fallon Health Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $93.33 | Professional | None | $36.31 | $61.66 | $93.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $75.86 | Professional | None | $34.67 | $51.29 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $77.62 Median $89.13 Typical High $123.03 | Facility | None | $77.62 | $89.13 | $123.03 |
Mass General Brigham Setting Professional Modifier None Typical Low $42.66 Median $89.13 Typical High $309.03 | Professional | None | $42.66 | $89.13 | $309.03 |
Tufts Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $50.12 | Professional | None | $27.54 | $27.54 | $50.12 |
United Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $147.91 | Facility | None | $52.48 | $100.00 | $147.91 |
United Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $109.65 | Professional | None | $40.74 | $61.66 | $109.65 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $32.36 Typical High $50.12 | Facility | None | $25.70 | $32.36 | $50.12 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $44.67 | Professional | None | $24.55 | $29.51 | $44.67 |
6 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 SA · Nurse practitioner Typical Low $54.95 Median $54.95 Typical High $58.88 | Facility | SA · Nurse practitioner | $54.95 | $54.95 | $58.88 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $54.95 Median $54.95 Typical High $58.88 | Facility | TD · Registered nurse | $54.95 | $54.95 | $58.88 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $64.57 Median $64.57 Typical High $69.18 | Facility | U6 · State-defined | $64.57 | $64.57 | $69.18 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | SA · Nurse practitioner | $54.95 | $54.95 | $58.88 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | TD · Registered nurse | $54.95 | $54.95 | $58.88 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | U6 · State-defined | $64.57 | $64.57 | $69.18 |
Where Massachusetts sits
The same service costs 2.6 times more in North Dakota than in Oklahoma. 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· 15th of 51
$50.12
ND $77.62OK $29.51
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.