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 $331.13 Median $331.13 Typical High $2,041.74 | Facility | None | $331.13 | $331.13 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None | $331.13 | $331.13 | $436.52 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,071.52 | Facility | None | $338.84 | $831.76 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $537.03 | Professional | None | $331.13 | $363.08 | $537.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $331.13 Median $380.19 Typical High $691.83 | Facility | None | $331.13 | $380.19 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $2,187.76 | Facility | None | $602.56 | $912.01 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $575.44 | Professional | None | $501.19 | $501.19 | $575.44 |
Fallon Health Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $512.86 | Facility | None | $316.23 | $436.52 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $537.03 | Professional | None | $281.84 | $354.81 | $537.03 |
Health New England Setting Facility Modifier None Typical Low $446.68 Median $1,000.00 Typical High $1,778.28 | Facility | None | $446.68 | $1,000.00 | $1,778.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,071.52 | Facility | None | $338.84 | $831.76 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $537.03 | Professional | None | $331.13 | $363.08 | $537.03 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $537.03 | Professional | None | $331.13 | $467.74 | $537.03 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $776.25 | Facility | None | $346.74 | $467.74 | $776.25 |
Well Sense Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | None | $331.13 | $331.13 | $398.11 |
3 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 $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $33.11 |
Where Massachusetts sits
The same service costs 3.5 times more in Minnesota than in Alabama. 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· 34th of 51
$407
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.