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 $1.82 Median $1.82 Typical High $8.13 | Facility | None | $1.82 | $1.82 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $8.13 | Professional | None | $1.82 | $1.82 | $8.13 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3.89 Median $4.27 Typical High $12.88 | Facility | None | $3.89 | $4.27 | $12.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1.62 Median $4.17 Typical High $24.55 | Professional | None | $1.62 | $4.17 | $24.55 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $7.94 | Facility | None | $2.63 | $2.63 | $7.94 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2.57 Median $2.95 Typical High $2.95 | Professional | None | $2.57 | $2.95 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Facility | None | $2.95 | $2.95 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.47 | Professional | None | $2.45 | $2.45 | $3.47 |
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 $1.62 Median $3.63 Typical High $3.72 | Professional | None | $1.62 | $3.63 | $3.72 |
Health New England Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Health New England Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Mass General Brigham Setting Facility Modifier None Typical Low $3.89 Median $4.27 Typical High $12.88 | Facility | None | $3.89 | $4.27 | $12.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $1.62 Median $4.17 Typical High $24.55 | Professional | None | $1.62 | $4.17 | $24.55 |
Tufts Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.47 | Professional | None | $2.63 | $2.63 | $3.47 |
United Setting Professional Modifier None Typical Low $1.38 Median $2.04 Typical High $4.07 | Professional | None | $1.38 | $2.04 | $4.07 |
Well Sense Setting Facility Modifier None Typical Low $3.47 Median $4.79 Typical High $6.76 | Facility | None | $3.47 | $4.79 | $6.76 |
Well Sense Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.16 | Professional | None | $2.63 | $2.63 | $3.16 |
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 $0.27 Median $0.27 Typical High $1.23 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.81 |
Where Massachusetts sits
The same service costs 5.5 times more in Kansas than in Delaware. 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· 25th of 51
$3.02
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.