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 $2,137.96 Median $3,019.95 Typical High $4,677.35 | Facility | None | $2,137.96 | $3,019.95 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,137.96 | $4,265.80 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $1,000.00 Typical High $4,168.69 | Facility | None | $436.52 | $1,000.00 | $4,168.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,949.84 Median $4,786.30 Typical High $14,125.38 | Professional | None | $1,949.84 | $4,786.30 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,479.11 Typical High $1,905.46 | Facility | None | $758.58 | $1,479.11 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $5,011.87 | Professional | None | $2,398.83 | $2,398.83 | $5,011.87 |
Fallon Health Setting Facility Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $3,548.13 | Facility | None | $1,412.54 | $2,754.23 | $3,548.13 |
Fallon Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,548.13 | Professional | None | $2,630.27 | $3,019.95 | $3,548.13 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,187.76 Median $4,073.80 Typical High $6,025.60 | Professional | None | $2,187.76 | $4,073.80 | $6,025.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $1,000.00 Typical High $4,168.69 | Facility | None | $436.52 | $1,000.00 | $4,168.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,949.84 Median $4,786.30 Typical High $14,125.38 | Professional | None | $1,949.84 | $4,786.30 | $14,125.38 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $5,248.07 | Facility | None | $407.38 | $870.96 | $5,248.07 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $8,709.64 | Professional | None | $1,862.09 | $3,019.95 | $8,709.64 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $1,479.11 Typical High $2,884.03 | Facility | None | $602.56 | $1,479.11 | $2,884.03 |
Well Sense Setting Professional Modifier None Typical Low $0.20 Median $0.27 Typical High $1,288.25 | Professional | None | $0.20 | $0.27 | $1,288.25 |
1 more rate 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 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $3,162.28 |
Where Massachusetts sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 12th of 51
$3,162
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.