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 $23.99 Median $23.99 Typical High $25.70 | Facility | None | $23.99 | $23.99 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $44.67 | Professional | None | $23.99 | $25.70 | $44.67 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $25.70 | Facility | None | $22.91 | $22.91 | $25.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $28.84 Median $60.26 Typical High $177.83 | Professional | None | $28.84 | $60.26 | $177.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $24.55 Median $125.89 Typical High $173.78 | Facility | None | $24.55 | $125.89 | $173.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $53.70 | Professional | None | $24.55 | $32.36 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $141.25 Typical High $213.80 | Facility | None | $85.11 | $141.25 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Fallon Health Setting Facility Modifier None Typical Low $25.12 Median $30.90 Typical High $42.66 | Facility | None | $25.12 | $30.90 | $42.66 |
Fallon Health Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $56.23 | Professional | None | $36.31 | $42.66 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $79.43 | Professional | None | $26.92 | $52.48 | $79.43 |
Health New England Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | None | $47.86 | $48.98 | $48.98 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $25.70 | Facility | None | $22.91 | $22.91 | $25.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $28.84 Median $60.26 Typical High $177.83 | Professional | None | $28.84 | $60.26 | $177.83 |
Tufts Setting Professional Modifier None Typical Low $28.84 Median $50.12 Typical High $60.26 | Professional | None | $28.84 | $50.12 | $60.26 |
United Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $398.11 | Facility | None | $141.25 | $269.15 | $398.11 |
United Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $77.62 | Professional | None | $26.30 | $38.90 | $77.62 |
Well Sense Setting Facility Modifier None Typical Low $21.38 Median $28.18 Typical High $46.77 | Facility | None | $21.38 | $28.18 | $46.77 |
Well Sense Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | None | $36.31 | $36.31 | $43.65 |
2 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 $12.02 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.02 | $12.88 | $12.88 |
BCBS Massachusetts Setting Professional Modifier 93 · Audio-only telehealth Typical Low $26.30 Median $44.67 Typical High $56.23 | Professional | 93 · Audio-only telehealth | $26.30 | $44.67 | $56.23 |
Where Massachusetts sits
The same service costs 3.0 times more in North Carolina 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· 10th of 51
$37.15
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.