How much rates vary
Facilitymedian $81 · 10th to 90th $56 to $178Professionalmedian $60 · 10th to 90th $46 to $112
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 $60.26 Median $63.10 Typical High $173.78 | Facility | None | $60.26 | $63.10 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $87.10 Median $169.82 Typical High $380.19 | Facility | None | $87.10 | $169.82 | $380.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $61.66 Median $173.78 Typical High $851.14 | Professional | None | $61.66 | $173.78 | $851.14 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $60.26 Median $128.82 Typical High $177.83 | Facility | None | $60.26 | $128.82 | $177.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $75.86 | Professional | None | $45.71 | $57.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | None | $63.10 | $63.10 | $85.11 |
Fallon Health Setting Facility Modifier None Typical Low $57.54 Median $75.86 Typical High $89.13 | Facility | None | $57.54 | $75.86 | $89.13 |
Fallon Health Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $102.33 | Professional | None | $56.23 | $75.86 | $102.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $109.65 | Professional | None | $50.12 | $61.66 | $109.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $87.10 Median $169.82 Typical High $380.19 | Facility | None | $87.10 | $169.82 | $380.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $61.66 Median $173.78 Typical High $851.14 | Professional | None | $61.66 | $173.78 | $851.14 |
United Setting Facility Modifier None Typical Low $245.47 Median $467.74 Typical High $691.83 | Facility | None | $245.47 | $467.74 | $691.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $177.83 | Professional | None | $60.26 | $89.13 | $177.83 |
Well Sense Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $117.49 | Facility | None | $52.48 | $66.07 | $117.49 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
8 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 HO · Master's level Typical Low $56.23 Median $56.23 Typical High $60.26 | Facility | HO · Master's level | $56.23 | $56.23 | $60.26 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $64.57 Median $64.57 Typical High $69.18 | Facility | SA · Nurse practitioner | $64.57 | $64.57 | $69.18 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $64.57 Median $64.57 Typical High $69.18 | Facility | TD · Registered nurse | $64.57 | $64.57 | $69.18 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $75.86 Median $75.86 Typical High $81.28 | Facility | U6 · State-defined | $75.86 | $75.86 | $81.28 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | HO · Master's level | $56.23 | $56.23 | $60.26 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | SA · Nurse practitioner | $64.57 | $64.57 | $69.18 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | TD · Registered nurse | $64.57 | $64.57 | $69.18 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | U6 · State-defined | $75.86 | $75.86 | $81.28 |
Where Massachusetts sits
The same service costs 2.6 times more in Alaska than in Oklahoma. 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· 39th of 51
$60.26
AK $123OK $47.86
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.