How much rates vary
Facilitymedian $245 · 10th to 90th $166 to $447Professionalmedian $282 · 10th to 90th $158 to $1,047
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $295.12 | Professional | None | $158.49 | $158.49 | $295.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $346.74 Typical High $489.78 | Facility | None | $173.78 | $346.74 | $489.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $158.49 Median $389.05 Typical High $1,047.13 | Professional | None | $158.49 | $389.05 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $123.03 Typical High $257.04 | Professional | 25 · Same-day visit | $75.86 | $123.03 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | None | $199.53 | $199.53 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Fallon Health Setting Facility Modifier None Typical Low $194.98 Median $245.47 Typical High $295.12 | Facility | None | $194.98 | $245.47 | $295.12 |
Fallon Health Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $346.74 | Professional | None | $218.78 | $263.03 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $190.55 Median $380.19 Typical High $489.78 | Professional | None | $190.55 | $380.19 | $489.78 |
Health New England Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Health New England Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $346.74 Typical High $489.78 | Facility | None | $173.78 | $346.74 | $489.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $158.49 Median $389.05 Typical High $1,047.13 | Professional | None | $158.49 | $389.05 | $1,047.13 |
Mass General Brigham Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $123.03 Typical High $257.04 | Professional | 25 · Same-day visit | $75.86 | $123.03 | $257.04 |
Tufts Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $354.81 | Professional | None | $173.78 | $309.03 | $354.81 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $190.55 | Facility | None | $173.78 | $173.78 | $190.55 |
United Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $467.74 | Professional | None | $162.18 | $229.09 | $467.74 |
Well Sense Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $269.15 | Facility | None | $128.82 | $177.83 | $269.15 |
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 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Massachusetts Setting Professional Modifier 93 · Audio-only telehealth Typical Low $169.82 Median $275.42 Typical High $331.13 | Professional | 93 · Audio-only telehealth | $169.82 | $275.42 | $331.13 |
Where Massachusetts sits
The same service costs 2.6 times more in North Dakota 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· 6th of 51
$269
ND $295NY $115
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.