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 $6.17 Median $6.17 Typical High $32.36 | Facility | None | $6.17 | $6.17 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.76 | Professional | None | $6.17 | $6.17 | $6.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $15.49 Median $16.60 Typical High $51.29 | Facility | None | $15.49 | $16.60 | $51.29 |
AllWays Health Partners Setting Professional Modifier None Typical Low $6.31 Median $15.14 Typical High $23.44 | Professional | None | $6.31 | $15.14 | $23.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6.46 Median $7.41 Typical High $13.49 | Facility | None | $6.46 | $7.41 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $37.15 Typical High $37.15 | Facility | None | $34.67 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.47 | Professional | None | $2.45 | $2.45 | $3.47 |
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 $8.13 Median $14.79 Typical High $31.62 | Professional | None | $8.13 | $14.79 | $31.62 |
Mass General Brigham Setting Facility Modifier None Typical Low $15.49 Median $16.60 Typical High $51.29 | Facility | None | $15.49 | $16.60 | $51.29 |
Mass General Brigham Setting Professional Modifier None Typical Low $6.31 Median $15.14 Typical High $23.44 | Professional | None | $6.31 | $15.14 | $23.44 |
United Setting Professional Modifier None Typical Low $5.37 Median $11.48 Typical High $35.48 | Professional | None | $5.37 | $11.48 | $35.48 |
Well Sense Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | None | $10.47 | $10.47 | $12.59 |
1 more rate 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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier BA · With IV/tube nutrition Typical Low $10.96 Median $14.79 Typical High $21.88 | Facility | BA · With IV/tube nutrition | $10.96 | $14.79 | $21.88 |
Where Massachusetts sits
The same service costs 3.7 times more in Montana than in Utah. 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· 18th of 51
$14.79
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.