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 $5.50 Median $5.50 Typical High $25.12 | Facility | None | $5.50 | $5.50 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $25.12 | Professional | None | $5.50 | $5.50 | $25.12 |
AllWays Health Partners Setting Facility Modifier None Typical Low $11.75 Median $12.02 Typical High $40.74 | Facility | None | $11.75 | $12.02 | $40.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $4.90 Median $12.88 Typical High $64.57 | Professional | None | $4.90 | $12.88 | $64.57 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | None | $7.94 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $8.13 | Facility | None | $7.59 | $7.59 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.91 | Professional | None | $6.46 | $6.46 | $8.91 |
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 $4.79 Median $10.96 Typical High $11.48 | Professional | None | $4.79 | $10.96 | $11.48 |
Health New England Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $11.75 Median $12.02 Typical High $40.74 | Facility | None | $11.75 | $12.02 | $40.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $4.90 Median $12.88 Typical High $64.57 | Professional | None | $4.90 | $12.88 | $64.57 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.31 Typical High $12.30 | Professional | None | $4.17 | $6.31 | $12.30 |
Well Sense Setting Facility Modifier None Typical Low $10.47 Median $13.80 Typical High $20.89 | Facility | None | $10.47 | $13.80 | $20.89 |
Well Sense Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.77 | Professional | None | $8.13 | $8.13 | $9.77 |
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 $0.83 Median $0.83 Typical High $3.80 | Professional | 55 · Aftercare only | $0.83 | $0.83 | $3.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.55 Typical High $2.51 | Professional | 56 · Pre-op care only | $0.55 | $0.55 | $2.51 |
Where Massachusetts sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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
$8.91
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.