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 $2.75 Median $2.75 Typical High $12.59 | Facility | None | $2.75 | $2.75 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $12.59 | Professional | None | $2.75 | $2.75 | $12.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5.62 Median $5.89 Typical High $19.50 | Facility | None | $5.62 | $5.89 | $19.50 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2.45 Median $6.31 Typical High $32.36 | Professional | None | $2.45 | $6.31 | $32.36 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $12.30 | Facility | None | $3.98 | $3.98 | $12.30 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.37 | Professional | None | $4.07 | $4.07 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.98 Typical High $3.98 | Facility | None | $3.02 | $3.98 | $3.98 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.68 | Professional | None | $3.39 | $3.39 | $4.68 |
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 $2.19 Median $5.50 Typical High $6.17 | Professional | None | $2.19 | $5.50 | $6.17 |
Health New England Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $5.62 Median $5.89 Typical High $19.50 | Facility | None | $5.62 | $5.89 | $19.50 |
Mass General Brigham Setting Professional Modifier None Typical Low $2.45 Median $6.31 Typical High $32.36 | Professional | None | $2.45 | $6.31 | $32.36 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.09 Typical High $6.17 | Professional | None | $2.09 | $3.09 | $6.17 |
Well Sense Setting Facility Modifier None Typical Low $5.25 Median $7.08 Typical High $10.23 | Facility | None | $5.25 | $7.08 | $10.23 |
Well Sense Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.79 | Professional | None | $3.98 | $3.98 | $4.79 |
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 $0.41 Median $0.41 Typical High $1.86 | Professional | 55 · Aftercare only | $0.41 | $0.41 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.27 Median $0.27 Typical High $1.26 | Professional | 56 · Pre-op care only | $0.27 | $0.27 | $1.26 |
Where Massachusetts sits
The same service costs 2.2 times more in Minnesota 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· 21st of 51
$4.37
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.