How much rates vary
Facilitymedian $12 · 10th to 90th $9 to $55Professionalmedian $22 · 10th to 90th $9 to $56
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 $8.71 Median $8.71 Typical High $17.38 | Facility | None | $8.71 | $8.71 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $22.39 | Professional | None | $8.71 | $17.38 | $22.39 |
AllWays Health Partners Setting Facility Modifier None Typical Low $8.13 Median $20.89 Typical High $79.43 | Facility | None | $8.13 | $20.89 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $10.96 Median $25.12 Typical High $117.49 | Professional | None | $10.96 | $25.12 | $117.49 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $20.89 | Facility | None | $8.91 | $8.91 | $20.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $8.91 Median $21.88 Typical High $37.15 | Professional | None | $8.91 | $21.88 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Fallon Health Setting Facility Modifier None Typical Low $8.91 Median $11.48 Typical High $21.38 | Facility | None | $8.91 | $11.48 | $21.38 |
Fallon Health Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $38.90 | Professional | None | $21.38 | $28.18 | $38.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.77 Median $22.39 Typical High $52.48 | Professional | None | $9.77 | $22.39 | $52.48 |
Health New England Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Mass General Brigham Setting Facility Modifier None Typical Low $8.13 Median $20.89 Typical High $79.43 | Facility | None | $8.13 | $20.89 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $10.96 Median $25.12 Typical High $117.49 | Professional | None | $10.96 | $25.12 | $117.49 |
Tufts Setting Facility Modifier None Typical Low $12.59 Median $53.70 Typical High $426.58 | Facility | None | $12.59 | $53.70 | $426.58 |
Tufts Setting Professional Modifier None Typical Low $13.80 Median $26.92 Typical High $38.90 | Professional | None | $13.80 | $26.92 | $38.90 |
United Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $147.91 | Facility | None | $52.48 | $100.00 | $147.91 |
United Setting Professional Modifier None Typical Low $10.47 Median $21.88 Typical High $53.70 | Professional | None | $10.47 | $21.88 | $53.70 |
Well Sense Setting Facility Modifier None Typical Low $8.51 Median $14.79 Typical High $22.91 | Facility | None | $8.51 | $14.79 | $22.91 |
Well Sense Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
6 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $5.75 Typical High $8.71 | Professional | 52 · Reduced service | $4.37 | $5.75 | $8.71 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $18.20 Median $18.20 Typical High $19.95 | Facility | TD · Registered nurse | $18.20 | $18.20 | $19.95 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | HO · Master's level | $15.85 | $17.78 | $17.78 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | SA · Nurse practitioner | $18.20 | $19.95 | $19.95 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $18.20 Median $18.20 Typical High $19.95 | Professional | TD · Registered nurse | $18.20 | $18.20 | $19.95 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | U6 · State-defined | $21.38 | $23.44 | $23.44 |
Where Massachusetts sits
The same service costs 2.3 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· 3rd of 51
$21.88
AK $30.90LA $13.49
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.