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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $6,025.60 | Facility | None | $1,862.09 | $2,041.74 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,818.38 | Professional | None | $1,862.09 | $2,137.96 | $2,818.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $4,265.80 | Facility | None | $2,089.30 | $2,344.23 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $8,912.51 | Facility | None | $1,949.84 | $3,630.78 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,511.89 | Professional | None | $2,041.74 | $2,041.74 | $2,511.89 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $616.60 Typical High $6,918.31 | Facility | None | $83.18 | $616.60 | $6,918.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $2,818.38 | Professional | None | $1,479.11 | $2,089.30 | $2,818.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $6,025.60 | Facility | None | $1,862.09 | $2,041.74 | $6,025.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,818.38 | Professional | None | $1,862.09 | $2,137.96 | $2,818.38 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,818.38 | Professional | None | $1,862.09 | $2,187.76 | $2,818.38 |
Well Sense Setting Facility Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $3,715.35 | Facility | None | $2,187.76 | $2,344.23 | $3,715.35 |
Well Sense Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
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 $933.25 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Where Massachusetts sits
The same service costs 1.9 times more in Arizona than in Hawaii. 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
$2,138
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.