How much rates vary
Facilitymedian $170 · 10th to 90th $102 to $427Professionalmedian $224 · 10th to 90th $123 to $832
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | None | $123.03 | $123.03 | $138.04 |
AllWays Health Partners Setting Professional Modifier None Typical Low $147.91 Median $501.19 Typical High $831.76 | Professional | None | $147.91 | $501.19 | $831.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $309.03 Median $354.81 Typical High $478.63 | Facility | None | $309.03 | $354.81 | $478.63 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $758.58 | Professional | None | $128.82 | $199.53 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $165.96 | Professional | None | $109.65 | $109.65 | $165.96 |
Fallon Health Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $190.55 | Facility | None | $97.72 | $147.91 | $190.55 |
Fallon Health Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $194.98 | Professional | None | $128.82 | $162.18 | $194.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $141.25 Median $275.42 Typical High $426.58 | Professional | None | $141.25 | $275.42 | $426.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $147.91 Median $501.19 Typical High $831.76 | Professional | None | $147.91 | $501.19 | $831.76 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $501.19 | Professional | None | $144.54 | $199.53 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $213.80 | Facility | None | $102.33 | $144.54 | $213.80 |
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 $97.72 Median $97.72 Typical High $102.33 | Facility | HO · Master's level | $97.72 | $97.72 | $102.33 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $109.65 Median $109.65 Typical High $117.49 | Facility | SA · Nurse practitioner | $109.65 | $109.65 | $117.49 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $109.65 Median $109.65 Typical High $117.49 | Facility | TD · Registered nurse | $109.65 | $109.65 | $117.49 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $128.82 Median $128.82 Typical High $138.04 | Facility | U6 · State-defined | $128.82 | $128.82 | $138.04 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | HO · Master's level | $97.72 | $97.72 | $120.23 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | SA · Nurse practitioner | $109.65 | $109.65 | $128.82 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | TD · Registered nurse | $109.65 | $109.65 | $128.82 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | U6 · State-defined | $128.82 | $128.82 | $151.36 |
Where Massachusetts sits
The same service costs 2.6 times more in Alaska than in Texas. 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· 6th of 51
$219
AK $288TX $110
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.