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 $10.96 Median $10.96 Typical High $50.12 | Facility | None | $10.96 | $10.96 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $50.12 | Professional | None | $10.96 | $10.96 | $50.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.91 Median $23.44 Typical High $77.62 | Facility | None | $22.91 | $23.44 | $77.62 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.77 Median $25.12 Typical High $169.82 | Professional | None | $9.77 | $25.12 | $169.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $48.98 | Facility | None | $16.22 | $16.22 | $48.98 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | None | $15.85 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.49 Typical High $16.60 | Facility | None | $15.14 | $15.49 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $18.20 | Professional | None | $13.18 | $13.18 | $18.20 |
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 $9.12 Median $21.88 Typical High $22.39 | Professional | None | $9.12 | $21.88 | $22.39 |
Health New England Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.91 Median $23.44 Typical High $77.62 | Facility | None | $22.91 | $23.44 | $77.62 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.77 Median $25.12 Typical High $169.82 | Professional | None | $9.77 | $25.12 | $169.82 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.30 Typical High $24.55 | Professional | None | $8.32 | $12.30 | $24.55 |
Well Sense Setting Facility Modifier None Typical Low $20.89 Median $27.54 Typical High $40.74 | Facility | None | $20.89 | $27.54 | $40.74 |
Well Sense Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.05 | Professional | None | $15.85 | $15.85 | $19.05 |
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 $1.62 Median $1.62 Typical High $7.41 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.10 Typical High $5.01 | Professional | 56 · Pre-op care only | $1.10 | $1.10 | $5.01 |
Where Massachusetts sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 19th of 51
$17.78
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.