How much rates vary
Facilitymedian $245 · 10th to 90th $148 to $631Professionalmedian $324 · 10th to 90th $182 to $1,202
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | None | $181.97 | $181.97 | $190.55 |
AllWays Health Partners Setting Professional Modifier None Typical Low $218.78 Median $741.31 Typical High $1,202.26 | Professional | None | $218.78 | $741.31 | $1,202.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $707.95 | Facility | None | $457.09 | $524.81 | $707.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $186.21 Median $275.42 Typical High $489.78 | Professional | None | $186.21 | $275.42 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | None | $154.88 | $154.88 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $275.42 | Facility | None | $141.25 | $213.80 | $275.42 |
Fallon Health Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $275.42 | Professional | None | $186.21 | $229.09 | $275.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $204.17 Median $398.11 Typical High $616.60 | Professional | None | $204.17 | $398.11 | $616.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $218.78 Median $741.31 Typical High $1,202.26 | Professional | None | $218.78 | $741.31 | $1,202.26 |
United Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $741.31 | Professional | None | $213.80 | $288.40 | $741.31 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
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 $141.25 Median $141.25 Typical High $147.91 | Facility | HO · Master's level | $141.25 | $141.25 | $147.91 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $158.49 Median $158.49 Typical High $165.96 | Facility | SA · Nurse practitioner | $158.49 | $158.49 | $165.96 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $158.49 Median $158.49 Typical High $165.96 | Facility | TD · Registered nurse | $158.49 | $158.49 | $165.96 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $186.21 Median $186.21 Typical High $194.98 | Facility | U6 · State-defined | $186.21 | $186.21 | $194.98 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $141.25 Median $141.25 Typical High $169.82 | Professional | HO · Master's level | $141.25 | $141.25 | $169.82 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | SA · Nurse practitioner | $158.49 | $158.49 | $181.97 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | TD · Registered nurse | $158.49 | $158.49 | $181.97 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | U6 · State-defined | $186.21 | $186.21 | $213.80 |
Where Massachusetts sits
The same service costs 2.6 times more in Alaska than in Louisiana. 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
$316
AK $407LA $155
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.