How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $3,467Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.15 Median $0.15 Typical High $0.15 | Facility | None | $0.15 | $0.15 | $0.15 |
Aetna Setting Professional Modifier None Typical Low $0.15 Median $0.15 Typical High $0.23 | Professional | None | $0.15 | $0.15 | $0.23 |
Aetna Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.17 Median $0.17 Typical High $0.78 | Professional | AV · With prosthetic/orthotic | $0.17 | $0.17 | $0.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $0.17 Median $0.35 Typical High $1.12 | Facility | None | $0.17 | $0.35 | $1.12 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.14 Median $0.35 Typical High $0.91 | Professional | None | $0.14 | $0.35 | $0.91 |
AllWays Health Partners Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.33 Median $0.39 Typical High $0.39 | Professional | AV · With prosthetic/orthotic | $0.33 | $0.39 | $0.39 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $0.26 Median $0.31 Typical High $0.40 | Facility | None | $0.26 | $0.31 | $0.40 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | None | $0.23 | $0.23 | $0.23 |
Cigna Setting Facility Modifier None Typical Low $0.19 Median $0.20 Typical High $0.22 | Facility | None | $0.19 | $0.20 | $0.22 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.24 | Professional | None | $0.17 | $0.17 | $0.24 |
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 $0.13 Median $0.33 Typical High $0.34 | Professional | None | $0.13 | $0.33 | $0.34 |
Health New England Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Health New England Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | None | $0.13 | $0.13 | $0.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $0.17 Median $0.35 Typical High $1.12 | Facility | None | $0.17 | $0.35 | $1.12 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.14 Median $0.35 Typical High $0.91 | Professional | None | $0.14 | $0.35 | $0.91 |
Mass General Brigham Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.33 Median $0.39 Typical High $0.39 | Professional | AV · With prosthetic/orthotic | $0.33 | $0.39 | $0.39 |
United Setting Professional Modifier None Typical Low $0.12 Median $0.19 Typical High $0.35 | Professional | None | $0.12 | $0.19 | $0.35 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,467.37 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,467.37 | $4,897.79 |
Well Sense Setting Facility Modifier AV · With prosthetic/orthotic Typical Low $0.36 Median $0.54 Typical High $0.72 | Facility | AV · With prosthetic/orthotic | $0.36 | $0.54 | $0.72 |
Well Sense Setting Professional Modifier None Typical Low $0.24 Median $0.24 Typical High $0.28 | Professional | None | $0.24 | $0.24 | $0.28 |
4 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 AU · Urologic/ostomy supply Typical Low $0.15 Median $0.15 Typical High $0.69 | Professional | AU · Urologic/ostomy supply | $0.15 | $0.15 | $0.69 |
AllWays Health Partners Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.28 Median $0.35 Typical High $0.42 | Professional | AU · Urologic/ostomy supply | $0.28 | $0.35 | $0.42 |
Mass General Brigham Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.28 Median $0.35 Typical High $0.42 | Professional | AU · Urologic/ostomy supply | $0.28 | $0.35 | $0.42 |
Well Sense Setting Facility Modifier AU · Urologic/ostomy supply Typical Low $0.28 Median $0.35 Typical High $0.65 | Facility | AU · Urologic/ostomy supply | $0.28 | $0.35 | $0.65 |
Where Massachusetts sits
The same service costs 2.7 times more in Arkansas 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· 19th of 51
$0.24
AR $0.38UT $0.14
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.