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 $3.89 Median $3.89 Typical High $17.78 | Facility | None | $3.89 | $3.89 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $17.78 | Professional | None | $3.89 | $3.89 | $17.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.94 Median $8.51 Typical High $28.18 | Facility | None | $7.94 | $8.51 | $28.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.47 Median $9.12 Typical High $63.10 | Professional | None | $3.47 | $9.12 | $63.10 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $17.38 | Facility | None | $5.75 | $5.75 | $17.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.62 Median $5.89 Typical High $5.89 | Professional | None | $5.62 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $5.37 Typical High $6.03 | Facility | None | $5.13 | $5.37 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $6.31 | Professional | None | $4.57 | $4.57 | $6.31 |
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 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.39 Median $7.76 Typical High $8.71 | Professional | None | $3.39 | $7.76 | $8.71 |
Health New England Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Health New England Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.94 Median $8.51 Typical High $28.18 | Facility | None | $7.94 | $8.51 | $28.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.47 Median $9.12 Typical High $63.10 | Professional | None | $3.47 | $9.12 | $63.10 |
Tufts Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $7.41 | Professional | None | $5.75 | $5.75 | $7.41 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $8.71 | Professional | None | $3.02 | $4.47 | $8.71 |
Well Sense Setting Facility Modifier None Typical Low $7.41 Median $9.77 Typical High $14.79 | Facility | None | $7.41 | $9.77 | $14.79 |
Well Sense Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.92 | Professional | None | $5.75 | $5.75 | $6.92 |
2 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 55 · Aftercare only Typical Low $0.59 Median $0.59 Typical High $2.69 | Professional | 55 · Aftercare only | $0.59 | $0.59 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.39 Typical High $1.78 | Professional | 56 · Pre-op care only | $0.39 | $0.39 | $1.78 |
Where Massachusetts sits
The same service costs 4.2 times more in Hawaii than in Kentucky. 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· 21st of 51
$5.89
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.