Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $2,570.40 Median $3,715.35 Typical High $7,244.36 | Facility | Global | $2,570.40 | $3,715.35 | $7,244.36 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | 54 · Surgery only | $524.81 | $524.81 | $524.81 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | 55 · Aftercare only | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier Global Typical Low $660.69 Median $758.58 Typical High $2,089.30 | Professional | Global | $660.69 | $758.58 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $112.20 Typical High $158.49 | Professional | 55 · Aftercare only | $100.00 | $112.20 | $158.49 |
AllWays Health Partners Setting Facility Modifier Global Typical Low $56.23 Median $3,981.07 Typical High $15,488.17 | Facility | Global | $56.23 | $3,981.07 | $15,488.17 |
AllWays Health Partners Setting Facility Modifier 53 · Discontinued Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | 53 · Discontinued | $4,466.84 | $4,466.84 | $4,466.84 |
AllWays Health Partners Setting Facility Modifier 54 · Surgery only Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | 54 · Surgery only | $15,848.93 | $15,848.93 | $15,848.93 |
AllWays Health Partners Setting Facility Modifier 55 · Aftercare only Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | 55 · Aftercare only | $3,388.44 | $3,388.44 | $3,388.44 |
AllWays Health Partners Setting Professional Modifier Global Typical Low $575.44 Median $977.24 Typical High $2,238.72 | Professional | Global | $575.44 | $977.24 | $2,238.72 |
BCBS Setting Professional Modifier Global Typical Low $1,047.13 Median $1,380.38 Typical High $1,819.70 | Professional | Global | $1,047.13 | $1,380.38 | $1,819.70 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $275.42 Typical High $363.08 | Professional | 55 · Aftercare only | $208.93 | $275.42 | $363.08 |
Cigna Setting Facility Modifier Global Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | Global | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier Global Typical Low $630.96 Median $1,202.26 Typical High $2,238.72 | Professional | Global | $630.96 | $1,202.26 | $2,238.72 |
Fallon Health Setting Facility Modifier Global Typical Low $602.56 Median $851.14 Typical High $3,630.78 | Facility | Global | $602.56 | $851.14 | $3,630.78 |
Fallon Health Setting Professional Modifier Global Typical Low $660.69 Median $776.25 Typical High $1,000.00 | Professional | Global | $660.69 | $776.25 | $1,000.00 |
Harvard Pilgrim Setting Facility Modifier Global Typical Low $2,511.89 Median $6,165.95 Typical High $13,182.57 | Facility | Global | $2,511.89 | $6,165.95 | $13,182.57 |
Harvard Pilgrim Setting Professional Modifier Global Typical Low $602.56 Median $977.24 Typical High $1,819.70 | Professional | Global | $602.56 | $977.24 | $1,819.70 |
Health New England Setting Facility Modifier Global Typical Low $3,630.78 Median $3,715.35 Typical High $3,715.35 | Facility | Global | $3,630.78 | $3,715.35 | $3,715.35 |
Health New England Setting Professional Modifier Global Typical Low $190.55 Median $954.99 Typical High $1,096.48 | Professional | Global | $190.55 | $954.99 | $1,096.48 |
Mass General Brigham Setting Facility Modifier Global Typical Low $56.23 Median $3,981.07 Typical High $15,488.17 | Facility | Global | $56.23 | $3,981.07 | $15,488.17 |
Mass General Brigham Setting Facility Modifier 53 · Discontinued Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | 53 · Discontinued | $4,466.84 | $4,466.84 | $4,466.84 |
Mass General Brigham Setting Facility Modifier 54 · Surgery only Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Facility | 54 · Surgery only | $15,848.93 | $15,848.93 | $15,848.93 |
Mass General Brigham Setting Facility Modifier 55 · Aftercare only Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | 55 · Aftercare only | $3,388.44 | $3,388.44 | $3,388.44 |
Mass General Brigham Setting Professional Modifier Global Typical Low $575.44 Median $977.24 Typical High $2,238.72 | Professional | Global | $575.44 | $977.24 | $2,238.72 |
United Setting Facility Modifier Global Typical Low $2,344.23 Median $6,165.95 Typical High $13,803.84 | Facility | Global | $2,344.23 | $6,165.95 | $13,803.84 |
United Setting Professional Modifier Global Typical Low $691.83 Median $1,202.26 Typical High $2,344.23 | Professional | Global | $691.83 | $1,202.26 | $2,344.23 |