How much rates vary
Facilitymedian $50 · 10th to 90th $25 to $120Professionalmedian $68 · 10th to 90th $32 to $98
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 $42.66 Median $74.13 Typical High $97.72 | Facility | None | $42.66 | $74.13 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $74.13 Typical High $97.72 | Professional | None | $42.66 | $74.13 | $97.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $39.81 Median $93.33 Typical High $97.72 | Facility | None | $39.81 | $93.33 | $97.72 |
AllWays Health Partners Setting Professional Modifier None Typical Low $48.98 Median $151.36 Typical High $398.11 | Professional | None | $48.98 | $151.36 | $398.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $39.81 Median $100.00 Typical High $141.25 | Facility | None | $39.81 | $100.00 | $141.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | None | $60.26 | $70.79 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $128.82 | Professional | None | $44.67 | $67.61 | $128.82 |
Fallon Health Setting Facility Modifier None Typical Low $22.91 Median $41.69 Typical High $69.18 | Facility | None | $22.91 | $41.69 | $69.18 |
Fallon Health Setting Professional Modifier None Typical Low $38.90 Median $69.18 Typical High $100.00 | Professional | None | $38.90 | $69.18 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $75.86 | Professional | None | $32.36 | $54.95 | $75.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $39.81 Median $93.33 Typical High $97.72 | Facility | None | $39.81 | $93.33 | $97.72 |
Mass General Brigham Setting Professional Modifier None Typical Low $48.98 Median $151.36 Typical High $398.11 | Professional | None | $48.98 | $151.36 | $398.11 |
Tufts Setting Professional Modifier None Typical Low $47.86 Median $60.26 Typical High $109.65 | Professional | None | $47.86 | $60.26 | $109.65 |
United Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $162.18 | Professional | None | $46.77 | $77.62 | $162.18 |
Well Sense Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $69.18 | Facility | None | $35.48 | $44.67 | $69.18 |
Well Sense Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $61.66 | Professional | None | $32.36 | $38.90 | $61.66 |
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 $58.88 Median $58.88 Typical High $64.57 | Facility | SA · Nurse practitioner | $58.88 | $58.88 | $64.57 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $58.88 Median $58.88 Typical High $64.57 | Facility | TD · Registered nurse | $58.88 | $58.88 | $64.57 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $69.18 Median $69.18 Typical High $75.86 | Facility | U6 · State-defined | $69.18 | $69.18 | $75.86 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | SA · Nurse practitioner | $58.88 | $58.88 | $64.57 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | TD · Registered nurse | $58.88 | $58.88 | $64.57 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $69.18 Median $69.18 Typical High $75.86 | Professional | U6 · State-defined | $69.18 | $69.18 | $75.86 |
Where Massachusetts sits
The same service costs 2.5 times more in North Dakota 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
$67.61
ND $85.11AL $34.67
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.