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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $64.57 | Facility | None | $58.88 | $61.66 | $64.57 |
AllWays Health Partners Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $26.30 | Professional | None | $15.14 | $19.50 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | None | $10.72 | $10.72 | $12.59 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $3,630.78 Typical High $9,772.37 | Facility | None | $56.23 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $64.57 | Facility | None | $58.88 | $61.66 | $64.57 |
Mass General Brigham Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $26.30 | Professional | None | $15.14 | $19.50 | $26.30 |
Tufts Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $33.11 | Professional | None | $25.12 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | None | $15.14 | $15.14 | $25.70 |
Well Sense Setting Facility Modifier None Typical Low $43.65 Median $95.50 Typical High $95.50 | Facility | None | $43.65 | $95.50 | $95.50 |
7 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 H9 · Court ordered Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | H9 · Court ordered | $19.50 | $19.50 | $26.30 |
AllWays Health Partners Setting Professional Modifier HD · Pregnant/parenting women Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | HD · Pregnant/parenting women | $19.50 | $19.50 | $26.30 |
AllWays Health Partners Setting Professional Modifier TF · Intermediate care level Typical Low $19.50 Median $28.84 Typical High $51.29 | Professional | TF · Intermediate care level | $19.50 | $28.84 | $51.29 |
Mass General Brigham Setting Professional Modifier H9 · Court ordered Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | H9 · Court ordered | $19.50 | $19.50 | $26.30 |
Mass General Brigham Setting Professional Modifier HD · Pregnant/parenting women Typical Low $19.50 Median $19.50 Typical High $26.30 | Professional | HD · Pregnant/parenting women | $19.50 | $19.50 | $26.30 |
Mass General Brigham Setting Professional Modifier TF · Intermediate care level Typical Low $19.50 Median $28.84 Typical High $51.29 | Professional | TF · Intermediate care level | $19.50 | $28.84 | $51.29 |
Well Sense Setting Facility Modifier TF · Intermediate care level Typical Low $19.95 Median $19.95 Typical High $21.88 | Facility | TF · Intermediate care level | $19.95 | $19.95 | $21.88 |
Where Massachusetts sits
The same service costs 8.7 times more in Montana than in California. 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
$33.11
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.