How much rates vary
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 $0.27 Median $0.27 Typical High $1.45 | Facility | None | $0.27 | $0.27 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $0.27 Median $0.27 Typical High $0.28 | Professional | None | $0.27 | $0.27 | $0.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $0.40 Median $0.40 Typical High $1.20 | Facility | None | $0.40 | $0.40 | $1.20 |
AllWays Health Partners Setting Facility Modifier BO · Nutrition taken by mouth Typical Low $1.66 Median $1.66 Typical High $5.75 | Facility | BO · Nutrition taken by mouth | $1.66 | $1.66 | $5.75 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.16 Median $0.40 Typical High $0.91 | Professional | None | $0.16 | $0.40 | $0.91 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $0.56 Median $0.65 Typical High $1.15 | Facility | None | $0.56 | $0.65 | $1.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Cigna Setting Professional Modifier None Typical Low $0.24 Median $0.24 Typical High $0.33 | Professional | None | $0.24 | $0.24 | $0.33 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $8,511.38 | Facility | None | $60.26 | $100.00 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.16 Median $0.52 Typical High $0.93 | Professional | None | $0.16 | $0.52 | $0.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $0.40 Median $0.40 Typical High $1.20 | Facility | None | $0.40 | $0.40 | $1.20 |
Mass General Brigham Setting Facility Modifier BO · Nutrition taken by mouth Typical Low $1.66 Median $1.66 Typical High $5.75 | Facility | BO · Nutrition taken by mouth | $1.66 | $1.66 | $5.75 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.16 Median $0.40 Typical High $0.91 | Professional | None | $0.16 | $0.40 | $0.91 |
United Setting Professional Modifier None Typical Low $0.16 Median $0.52 Typical High $0.93 | Professional | None | $0.16 | $0.52 | $0.93 |
Well Sense Setting Facility Modifier None Typical Low $0.24 Median $0.33 Typical High $0.51 | Facility | None | $0.24 | $0.33 | $0.51 |
Well Sense Setting Facility Modifier BO · Nutrition taken by mouth Typical Low $1.82 Median $2.29 Typical High $4.27 | Facility | BO · Nutrition taken by mouth | $1.82 | $2.29 | $4.27 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 55 · Aftercare only | $0.04 | $0.04 | $0.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 56 · Pre-op care only | $0.03 | $0.03 | $0.03 |
Well Sense Setting Facility Modifier BA · With IV/tube nutrition Typical Low $0.32 Median $0.43 Typical High $0.74 | Facility | BA · With IV/tube nutrition | $0.32 | $0.43 | $0.74 |
Well Sense Setting Professional Modifier BA · With IV/tube nutrition Typical Low $0.46 Median $0.46 Typical High $0.55 | Professional | BA · With IV/tube nutrition | $0.46 | $0.46 | $0.55 |
Where Massachusetts sits
The same service costs 3.1 times more in Florida 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· 30th of 51
$0.40
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.