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 $93.33 Median $93.33 Typical High $275.42 | Facility | None | $93.33 | $93.33 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $144.54 | Professional | None | $93.33 | $93.33 | $144.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $114.82 Median $380.19 Typical High $870.96 | Professional | None | $114.82 | $380.19 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $363.08 | Facility | None | $234.42 | $269.15 | $363.08 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $131.83 | Professional | None | $87.10 | $87.10 | $131.83 |
Fallon Health Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $154.88 | Facility | None | $77.62 | $117.49 | $154.88 |
Fallon Health Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $154.88 | Professional | None | $104.71 | $128.82 | $154.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $112.20 Median $204.17 Typical High $295.12 | Professional | None | $112.20 | $204.17 | $295.12 |
Mass General Brigham Setting Professional Modifier None Typical Low $114.82 Median $380.19 Typical High $870.96 | Professional | None | $114.82 | $380.19 | $870.96 |
United Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $380.19 | Professional | None | $109.65 | $154.88 | $380.19 |
Well Sense Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $158.49 | Facility | None | $77.62 | $107.15 | $158.49 |
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 |
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 |
|---|---|---|---|---|---|
Fallon Health Setting Facility Modifier HO · Master's level Typical Low $77.62 Median $77.62 Typical High $81.28 | Facility | HO · Master's level | $77.62 | $77.62 | $81.28 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $89.13 Median $89.13 Typical High $93.33 | Facility | SA · Nurse practitioner | $89.13 | $89.13 | $93.33 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $89.13 Median $89.13 Typical High $93.33 | Facility | TD · Registered nurse | $89.13 | $89.13 | $93.33 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $104.71 Median $104.71 Typical High $109.65 | Facility | U6 · State-defined | $104.71 | $104.71 | $109.65 |
Where Massachusetts sits
The same service costs 2.8 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· 10th of 51
$151
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.