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 $16.98 Median $16.98 Typical High $64.57 | Facility | None | $16.98 | $16.98 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $23.44 | Professional | None | $16.98 | $16.98 | $23.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $69.18 | Facility | None | $45.71 | $51.29 | $69.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $17.78 Median $42.66 Typical High $162.18 | Professional | None | $17.78 | $42.66 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $50.12 | Professional | None | $21.38 | $21.38 | $50.12 |
Fallon Health Setting Facility Modifier None Typical Low $11.75 Median $22.39 Typical High $39.81 | Facility | None | $11.75 | $22.39 | $39.81 |
Fallon Health Setting Professional Modifier None Typical Low $11.75 Median $20.89 Typical High $30.90 | Professional | None | $11.75 | $20.89 | $30.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.95 Median $41.69 Typical High $57.54 | Professional | None | $19.95 | $41.69 | $57.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $69.18 | Facility | None | $45.71 | $51.29 | $69.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $17.78 Median $42.66 Typical High $162.18 | Professional | None | $17.78 | $42.66 | $162.18 |
United Setting Professional Modifier None Typical Low $18.62 Median $23.99 Typical High $66.07 | Professional | None | $18.62 | $23.99 | $66.07 |
Well Sense Setting Facility Modifier None Typical Low $12.88 Median $17.78 Typical High $26.92 | Facility | None | $12.88 | $17.78 | $26.92 |
Well Sense Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | None | $15.14 | $15.14 | $20.42 |
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 $8.51 Median $8.51 Typical High $11.48 | Professional | 52 · Reduced service | $8.51 | $8.51 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $4.68 | Professional | 53 · Discontinued | $3.39 | $3.39 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.57 Typical High $3.47 | Professional | 55 · Aftercare only | $2.57 | $2.57 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.70 Median $1.70 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.70 | $1.70 | $2.29 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Florida. 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· 10th of 51
$29.51
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.