How much rates vary
Facilitymedian $224 · 10th to 90th $209 to $355Professionalmedian $209 · 10th to 90th $195 to $708
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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $20.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $208.93 | Facility | None | $194.98 | $194.98 | $208.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $281.84 Median $1,348.96 Typical High $1,348.96 | Professional | None | $281.84 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | None | $199.53 | $199.53 | $263.03 |
Fallon Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $354.81 | Facility | None | $223.87 | $223.87 | $354.81 |
Fallon Health Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $426.58 | Professional | None | $269.15 | $316.23 | $426.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $363.08 | Professional | None | $194.98 | $194.98 | $363.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $208.93 | Facility | None | $194.98 | $194.98 | $208.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $281.84 Median $1,348.96 Typical High $1,348.96 | Professional | None | $281.84 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $676.08 | Professional | None | $234.42 | $323.59 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $346.74 | Facility | None | $169.82 | $234.42 | $346.74 |
Well Sense Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | None | $169.82 | $169.82 | $229.09 |
Where Massachusetts sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 34th of 51
$209
ND $380KY $170
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.