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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $5.75 |
AllWays Health Partners Setting Facility Modifier None Typical Low $14.13 Median $251.19 Typical High $275.42 | Facility | None | $14.13 | $251.19 | $275.42 |
AllWays Health Partners Setting Professional Modifier None Typical Low $14.13 Median $63.10 Typical High $104.71 | Professional | None | $14.13 | $63.10 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Fallon Health Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $104.71 | Professional | None | $41.69 | $63.10 | $104.71 |
Mass General Brigham Setting Facility Modifier None Typical Low $14.13 Median $251.19 Typical High $275.42 | Facility | None | $14.13 | $251.19 | $275.42 |
Mass General Brigham Setting Professional Modifier None Typical Low $14.13 Median $63.10 Typical High $104.71 | Professional | None | $14.13 | $63.10 | $104.71 |
United Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $104.71 | Professional | None | $41.69 | $63.10 | $104.71 |
Well Sense Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $173.78 | Facility | None | $83.18 | $114.82 | $173.78 |
Well Sense Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $100.00 | Professional | None | $83.18 | $83.18 | $100.00 |
Where Massachusetts sits
The same service costs 18.2 times more in North Carolina than in New York. 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· 30th of 51
$63.10
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.