How much rates vary
Facilitymedian $35 · 10th to 90th $21 to $83Professionalmedian $29 · 10th to 90th $22 to $48
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 $21.38 Median $21.38 Typical High $23.44 | Facility | None | $21.38 | $21.38 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | None | $21.38 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $10.72 | $11.75 | $11.75 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $204.17 | Facility | None | $64.57 | $85.11 | $204.17 |
AllWays Health Partners Setting Professional Modifier None Typical Low $26.30 Median $74.13 Typical High $186.21 | Professional | None | $26.30 | $74.13 | $186.21 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $66.07 | Facility | None | $28.84 | $28.84 | $66.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $38.90 | Professional | None | $21.88 | $28.84 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | None | $27.54 | $27.54 | $36.31 |
Fallon Health Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $56.23 | Facility | None | $28.84 | $36.31 | $56.23 |
Fallon Health Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $52.48 | Professional | None | $28.84 | $38.02 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $52.48 | Professional | None | $23.99 | $30.90 | $52.48 |
Health New England Setting Professional Modifier None Typical Low $34.67 Median $45.71 Typical High $54.95 | Professional | None | $34.67 | $45.71 | $54.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $204.17 | Facility | None | $64.57 | $85.11 | $204.17 |
Mass General Brigham Setting Professional Modifier None Typical Low $26.30 Median $74.13 Typical High $186.21 | Professional | None | $26.30 | $74.13 | $186.21 |
Tufts Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $64.57 | Professional | None | $26.30 | $46.77 | $64.57 |
United Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $398.11 | Facility | None | $141.25 | $269.15 | $398.11 |
United Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $91.20 | Professional | None | $25.12 | $34.67 | $91.20 |
Well Sense Setting Facility Modifier None Typical Low $19.50 Median $24.55 Typical High $40.74 | Facility | None | $19.50 | $24.55 | $40.74 |
5 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 TD · Registered nurse Typical Low $32.36 Median $32.36 Typical High $34.67 | Facility | TD · Registered nurse | $32.36 | $32.36 | $34.67 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | HO · Master's level | $28.84 | $28.84 | $30.90 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | SA · Nurse practitioner | $32.36 | $32.36 | $34.67 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $32.36 Median $32.36 Typical High $34.67 | Professional | TD · Registered nurse | $32.36 | $32.36 | $34.67 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | U6 · State-defined | $38.02 | $38.02 | $40.74 |
Where Massachusetts sits
The same service costs 2.7 times more in North Dakota than in Kentucky. 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· 18th of 51
$28.84
ND $52.48KY $19.50
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.