How much rates vary
Facilitymedian $18 · 10th to 90th $15 to $24Professionalmedian $16 · 10th to 90th $13 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 $25.70 Median $25.70 Typical High $30.90 | Facility | None | $25.70 | $25.70 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $43.65 | Professional | None | $17.78 | $29.51 | $43.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $12.88 Median $15.14 Typical High $15.14 | Facility | None | $12.88 | $15.14 | $15.14 |
AllWays Health Partners Setting Professional Modifier None Typical Low $16.22 Median $43.65 Typical High $93.33 | Professional | None | $16.22 | $43.65 | $93.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $16.22 Median $32.36 Typical High $33.88 | Professional | None | $16.22 | $32.36 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $20.89 | Professional | None | $13.80 | $13.80 | $20.89 |
Fallon Health Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $23.44 | Facility | None | $17.78 | $17.78 | $23.44 |
Fallon Health Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $32.36 | Professional | None | $21.88 | $25.70 | $32.36 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $24.55 | Professional | None | $12.88 | $15.85 | $24.55 |
Health New England Setting Professional Modifier None Typical Low $23.99 Median $125.89 Typical High $125.89 | Professional | None | $23.99 | $125.89 | $125.89 |
Mass General Brigham Setting Facility Modifier None Typical Low $12.88 Median $15.14 Typical High $15.14 | Facility | None | $12.88 | $15.14 | $15.14 |
Mass General Brigham Setting Professional Modifier None Typical Low $16.22 Median $43.65 Typical High $93.33 | Professional | None | $16.22 | $43.65 | $93.33 |
Tufts Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | None | $21.38 | $25.70 | $30.20 |
United Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $51.29 | Professional | None | $18.20 | $24.55 | $51.29 |
Well Sense Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $25.12 | Facility | None | $12.30 | $16.60 | $25.12 |
Well Sense Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | None | $12.02 | $12.02 | $16.22 |
9 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 |
|---|---|---|---|---|---|
AllWays Health Partners Setting Professional Modifier 25 · Same-day visit Typical Low $7.59 Median $12.02 Typical High $24.55 | Professional | 25 · Same-day visit | $7.59 | $12.02 | $24.55 |
BCBS Massachusetts Setting Professional Modifier 93 · Audio-only telehealth Typical Low $19.95 Median $26.92 Typical High $33.88 | Professional | 93 · Audio-only telehealth | $19.95 | $26.92 | $33.88 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $15.14 Median $15.85 Typical High $17.78 | Facility | SA · Nurse practitioner | $15.14 | $15.85 | $17.78 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $16.60 Median $16.60 Typical High $17.78 | Facility | TD · Registered nurse | $16.60 | $16.60 | $17.78 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $17.78 Median $19.05 Typical High $20.89 | Facility | U6 · State-defined | $17.78 | $19.05 | $20.89 |
Fallon Health Setting Professional Modifier SA · Nurse practitioner Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | SA · Nurse practitioner | $15.14 | $15.14 | $16.60 |
Fallon Health Setting Professional Modifier TD · Registered nurse Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | TD · Registered nurse | $16.60 | $16.60 | $17.78 |
Fallon Health Setting Professional Modifier U6 · State-defined Typical Low $17.78 Median $17.78 Typical High $19.50 | Professional | U6 · State-defined | $17.78 | $17.78 | $19.50 |
Mass General Brigham Setting Professional Modifier 25 · Same-day visit Typical Low $7.59 Median $12.02 Typical High $24.55 | Professional | 25 · Same-day visit | $7.59 | $12.02 | $24.55 |
Where Massachusetts sits
The same service costs 5.1 times more in Alaska than in Maine. 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· 33rd of 51
$15.85
AK $66.07ME $12.88
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.