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 $1.20 Median $1.20 Typical High $6.31 | Facility | None | $1.20 | $1.20 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.32 | Professional | None | $1.20 | $1.20 | $1.32 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $6.17 | Facility | None | $2.04 | $2.04 | $6.17 |
AllWays Health Partners Setting Professional Modifier None Typical Low $0.78 Median $2.04 Typical High $4.07 | Professional | None | $0.78 | $2.04 | $4.07 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $1.62 Typical High $1.70 | Professional | None | $1.17 | $1.62 | $1.70 |
Fallon Health Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $8,511.38 | Facility | None | $60.26 | $100.00 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.12 Median $1.82 Typical High $4.07 | Professional | None | $1.12 | $1.82 | $4.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $6.17 | Facility | None | $2.04 | $2.04 | $6.17 |
Mass General Brigham Setting Professional Modifier None Typical Low $0.78 Median $2.04 Typical High $4.07 | Professional | None | $0.78 | $2.04 | $4.07 |
United Setting Professional Modifier None Typical Low $0.76 Median $2.34 Typical High $4.27 | Professional | None | $0.76 | $2.34 | $4.27 |
Well Sense Setting Facility Modifier None Typical Low $1.66 Median $2.24 Typical High $3.24 | Facility | None | $1.66 | $2.24 | $3.24 |
Well Sense Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.45 | Professional | None | $2.04 | $2.04 | $2.45 |
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 $0.18 Median $0.18 Typical High $0.20 | Professional | 55 · Aftercare only | $0.18 | $0.18 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.13 |
Where Massachusetts sits
The same service costs 33.1 times more in Kansas than in Alabama. 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
$2.04
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.