How much rates vary
Facilitymedian $162 · 10th to 90th $91 to $263Professionalmedian $166 · 10th to 90th $100 to $288
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 $107.15 Median $107.15 Typical High $165.96 | Facility | None | $107.15 | $107.15 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $165.96 | Professional | None | $107.15 | $162.18 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $53.70 | $69.18 | $83.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $316.23 | Facility | None | $109.65 | $128.82 | $316.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $1,288.25 | Professional | None | $154.88 | $389.05 | $1,288.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $316.23 | Facility | None | $134.90 | $134.90 | $316.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $100.00 Median $190.55 Typical High $190.55 | Professional | None | $100.00 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $467.74 | Professional | None | $154.88 | $239.88 | $467.74 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $194.98 Typical High $229.09 | Facility | None | $81.28 | $194.98 | $229.09 |
Fallon Health Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $371.54 | Professional | None | $147.91 | $251.19 | $371.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $109.65 Median $199.53 Typical High $251.19 | Professional | None | $109.65 | $199.53 | $251.19 |
Health New England Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $338.84 | Professional | None | $223.87 | $269.15 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $109.65 Median $128.82 Typical High $316.23 | Facility | None | $109.65 | $128.82 | $316.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $1,288.25 | Professional | None | $154.88 | $389.05 | $1,288.25 |
Tufts Setting Facility Modifier None Typical Low $147.91 Median $223.87 Typical High $426.58 | Facility | None | $147.91 | $223.87 | $426.58 |
Tufts Setting Professional Modifier None Typical Low $131.83 Median $316.23 Typical High $363.08 | Professional | None | $131.83 | $316.23 | $363.08 |
United Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $524.81 | Facility | None | $186.21 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $562.34 | Professional | None | $151.36 | $245.47 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $181.97 Typical High $251.19 | Facility | None | $123.03 | $181.97 | $251.19 |
Well Sense Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $154.88 | Professional | None | $102.33 | $128.82 | $154.88 |
4 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 TD · Registered nurse Typical Low $213.80 Median $213.80 Typical High $229.09 | Facility | TD · Registered nurse | $213.80 | $213.80 | $229.09 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | SA · Nurse practitioner | $213.80 | $213.80 | $229.09 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | TD · Registered nurse | $213.80 | $213.80 | $229.09 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $251.19 Median $251.19 Typical High $269.15 | Professional | U6 · State-defined | $251.19 | $251.19 | $269.15 |
Where Massachusetts sits
The same service costs 2.8 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· 24th of 51
$166
AK $339KY $120
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.