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 $9.77 Median $9.77 Typical High $40.74 | Facility | None | $9.77 | $9.77 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $40.74 | Professional | None | $9.77 | $9.77 | $40.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $37.15 Median $467.74 Typical High $1,819.70 | Facility | None | $37.15 | $467.74 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $12.59 Median $30.90 Typical High $660.69 | Professional | None | $12.59 | $30.90 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $489.78 Typical High $831.76 | Facility | None | $446.68 | $489.78 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $41.69 | Professional | None | $18.62 | $18.62 | $41.69 |
Fallon Health Setting Facility Modifier None Typical Low $11.48 Median $14.79 Typical High $3,311.31 | Facility | None | $11.48 | $14.79 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $17.78 | Professional | None | $12.02 | $14.13 | $17.78 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $12.59 Median $22.91 Typical High $39.81 | Professional | None | $12.59 | $22.91 | $39.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $37.15 Median $467.74 Typical High $1,819.70 | Facility | None | $37.15 | $467.74 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $12.59 Median $30.90 Typical High $660.69 | Professional | None | $12.59 | $30.90 | $660.69 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,754.23 | Facility | None | $123.03 | $549.54 | $2,754.23 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.50 Typical High $42.66 | Professional | None | $14.45 | $19.50 | $42.66 |
Well Sense Setting Facility Modifier None Typical Low $8.71 Median $12.02 Typical High $17.38 | Facility | None | $8.71 | $12.02 | $17.38 |
Well Sense Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | None | $10.00 | $10.00 | $12.02 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.90 Median $4.90 Typical High $20.42 | Professional | 52 · Reduced service | $4.90 | $4.90 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $8.13 | Professional | 53 · Discontinued | $1.95 | $1.95 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.48 Median $1.48 Typical High $6.03 | Professional | 55 · Aftercare only | $1.48 | $1.48 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $0.98 Typical High $4.07 | Professional | 56 · Pre-op care only | $0.98 | $0.98 | $4.07 |
Where Massachusetts sits
The same service costs 12.3 times more in Florida 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· 14th of 51
$23.44
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.