How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Professional | None | $186.21 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $91.20 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $41.69 | Professional | 53 · Discontinued | $37.15 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $30.90 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $20.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $851.14 | Facility | None | $537.03 | $537.03 | $851.14 |
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 $165.96 Median $512.86 Typical High $512.86 | Professional | None | $165.96 | $512.86 | $512.86 |
Mass General Brigham Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $851.14 | Facility | None | $537.03 | $537.03 | $851.14 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,318.26 Typical High $1,995.26 | Facility | None | $707.95 | $1,318.26 | $1,995.26 |
Where Massachusetts sits
The same service costs 26.3 times more in Oklahoma than in Montana. 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· 32nd of 51
$186
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.