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 $3.47 Median $3.47 Typical High $15.85 | Facility | None | $3.47 | $3.47 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $15.85 | Professional | None | $3.47 | $3.47 | $15.85 |
AllWays Health Partners Setting Facility Modifier None Typical Low $7.41 Median $7.59 Typical High $25.70 | Facility | None | $7.41 | $7.59 | $25.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $3.09 Median $8.13 Typical High $40.74 | Professional | None | $3.09 | $8.13 | $40.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $5.75 | Professional | None | $5.13 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.62 | Professional | None | $4.07 | $4.07 | $5.62 |
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 $3.02 Median $7.08 Typical High $7.24 | Professional | None | $3.02 | $7.08 | $7.24 |
Health New England Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Mass General Brigham Setting Facility Modifier None Typical Low $7.41 Median $7.59 Typical High $25.70 | Facility | None | $7.41 | $7.59 | $25.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $3.09 Median $8.13 Typical High $40.74 | Professional | None | $3.09 | $8.13 | $40.74 |
Tufts Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.61 | Professional | None | $5.13 | $5.13 | $6.61 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $7.76 | Professional | None | $2.63 | $3.98 | $7.76 |
Well Sense Setting Facility Modifier None Typical Low $6.61 Median $8.71 Typical High $13.18 | Facility | None | $6.61 | $8.71 | $13.18 |
Well Sense Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.17 | Professional | None | $5.13 | $5.13 | $6.17 |
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 $0.52 Median $0.52 Typical High $2.40 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.35 Typical High $1.58 | Professional | 56 · Pre-op care only | $0.35 | $0.35 | $1.58 |
Where Massachusetts sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 20th of 51
$5.75
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.