How much rates vary
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 $10.72 Median $10.72 Typical High $11.22 | Facility | None | $10.72 | $10.72 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $11.22 | Professional | None | $10.72 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.25 Median $5.62 Typical High $5.62 | Professional | 52 · Reduced service | $5.25 | $5.62 | $5.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $79.43 | Facility | None | $24.55 | $32.36 | $79.43 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.88 Median $34.67 Typical High $79.43 | Professional | None | $12.88 | $34.67 | $79.43 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $11.22 Median $123.03 Typical High $169.82 | Facility | None | $11.22 | $123.03 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.85 | Professional | None | $11.75 | $11.75 | $15.85 |
Fallon Health Setting Facility Modifier None Typical Low $10.96 Median $13.80 Typical High $21.38 | Facility | None | $10.96 | $13.80 | $21.38 |
Fallon Health Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $19.50 | Professional | None | $10.72 | $14.45 | $19.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $19.95 | Professional | None | $9.12 | $11.48 | $19.95 |
Mass General Brigham Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $79.43 | Facility | None | $24.55 | $32.36 | $79.43 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.88 Median $34.67 Typical High $79.43 | Professional | None | $12.88 | $34.67 | $79.43 |
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 $12.30 Median $16.98 Typical High $46.77 | Professional | None | $12.30 | $16.98 | $46.77 |
Well Sense Setting Facility Modifier None Typical Low $9.55 Median $12.02 Typical High $19.95 | Facility | None | $9.55 | $12.02 | $19.95 |
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 $12.02 Median $12.02 Typical High $12.88 | Facility | TD · Registered nurse | $12.02 | $12.02 | $12.88 |
Fallon Health Setting Professional Modifier HO · Master's level Typical Low $10.72 Median $10.72 Typical High $11.48 | Professional | HO · Master's level | $10.72 | $10.72 | $11.48 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | SA · Nurse practitioner | $12.02 | $12.02 | $12.88 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | TD · Registered nurse | $12.02 | $12.02 | $12.88 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | U6 · State-defined | $14.45 | $14.45 | $15.14 |
Where Massachusetts sits
The same service costs 6.3 times more in Alaska than in Arizona. 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· 27th of 51
$11.48
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.