How much rates vary
Facilitymedian $71 · 10th to 90th $42 to $107Professionalmedian $100 · 10th to 90th $68 to $224
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | None | $70.79 | $70.79 | $85.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $173.78 | Facility | None | $64.57 | $72.44 | $173.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $61.66 Median $141.25 Typical High $457.09 | Professional | None | $61.66 | $141.25 | $457.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $162.18 | Facility | None | $70.79 | $70.79 | $162.18 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $151.36 | Professional | None | $70.79 | $89.13 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | None | $79.43 | $79.43 | $154.88 |
Fallon Health Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $102.33 | Facility | None | $39.81 | $69.18 | $102.33 |
Fallon Health Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $131.83 | Professional | None | $51.29 | $87.10 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $213.80 | Professional | None | $75.86 | $144.54 | $213.80 |
Health New England Setting Professional Modifier None Typical Low $134.90 Median $1,621.81 Typical High $1,621.81 | Professional | None | $134.90 | $1,621.81 | $1,621.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $173.78 | Facility | None | $64.57 | $72.44 | $173.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $61.66 Median $141.25 Typical High $457.09 | Professional | None | $61.66 | $141.25 | $457.09 |
United Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $213.80 | Professional | None | $74.13 | $97.72 | $213.80 |
Well Sense Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $123.03 | Facility | None | $52.48 | $72.44 | $123.03 |
Well Sense Setting Professional Modifier None Typical Low $52.48 Median $102.33 Typical High $3,019.95 | Professional | None | $52.48 | $102.33 | $3,019.95 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $35.48 | $35.48 | $35.48 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $74.13 Median $74.13 Typical High $79.43 | Facility | TD · Registered nurse | $74.13 | $74.13 | $79.43 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | SA · Nurse practitioner | $74.13 | $79.43 | $79.43 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | TD · Registered nurse | $74.13 | $74.13 | $79.43 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $87.10 Median $93.33 Typical High $93.33 | Professional | U6 · State-defined | $87.10 | $93.33 | $93.33 |
Where Massachusetts sits
The same service costs 3.0 times more in Alaska than in New York. 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
$97.72
AK $174NY $57.54
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.