Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.
| Insurance Carrier | Facility/Professional | Modifier | Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. | Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High. |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier Global Typical Low $870.96 Median $2,137.96 Typical High $3,715.35 | Facility | Global | $870.96 | $2,137.96 | $3,715.35 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $93.33 Median $177.83 Typical High $177.83 | Facility | 52 · Reduced service | $93.33 | $177.83 | $177.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $37.15 Median $72.44 Typical High $131.83 | Facility | 53 · Discontinued | $37.15 | $72.44 | $131.83 |
Aetna Setting Professional Modifier Global Typical Low $173.78 Median $302.00 Typical High $1,047.13 | Professional | Global | $173.78 | $302.00 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $81.28 Typical High $239.88 | Professional | 53 · Discontinued | $37.15 | $81.28 | $239.88 |
AllWays Health Partners Setting Facility Modifier Global Typical Low $467.74 Median $1,949.84 Typical High $28,840.32 | Facility | Global | $467.74 | $1,949.84 | $28,840.32 |
AllWays Health Partners Setting Facility Modifier 52 · Reduced service Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | 52 · Reduced service | $2,290.87 | $2,290.87 | $2,290.87 |
AllWays Health Partners Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $263.03 Typical High $575.44 | Facility | 53 · Discontinued | $239.88 | $263.03 | $575.44 |
AllWays Health Partners Setting Professional Modifier Global Typical Low $204.17 Median $416.87 Typical High $1,071.52 | Professional | Global | $204.17 | $416.87 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $204.17 Typical High $457.09 | Professional | 53 · Discontinued | $89.13 | $204.17 | $457.09 |
BCBS Setting Facility Modifier Global Typical Low $257.04 Median $257.04 Typical High $575.44 | Facility | Global | $257.04 | $257.04 | $575.44 |
BCBS Setting Professional Modifier Global Typical Low $363.08 Median $478.63 Typical High $741.31 | Professional | Global | $363.08 | $478.63 | $741.31 |
BCBS Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $93.33 | $138.04 | $186.21 |
Cigna Setting Facility Modifier Global Typical Low $588.84 Median $870.96 Typical High $1,995.26 | Facility | Global | $588.84 | $870.96 | $1,995.26 |
Cigna Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | Global | $302.00 | $302.00 | $302.00 |
Fallon Health Setting Facility Modifier Global Typical Low $169.82 Median $239.88 Typical High $3,311.31 | Facility | Global | $169.82 | $239.88 | $3,311.31 |
Fallon Health Setting Professional Modifier Global Typical Low $363.08 Median $512.86 Typical High $812.83 | Professional | Global | $363.08 | $512.86 | $812.83 |
Harvard Pilgrim Setting Facility Modifier Global Typical Low $346.74 Median $1,949.84 Typical High $7,079.46 | Facility | Global | $346.74 | $1,949.84 | $7,079.46 |
Harvard Pilgrim Setting Professional Modifier Global Typical Low $199.53 Median $426.58 Typical High $933.25 | Professional | Global | $199.53 | $426.58 | $933.25 |
Health New England Setting Facility Modifier Global Typical Low $812.83 Median $1,659.59 Typical High $4,570.88 | Facility | Global | $812.83 | $1,659.59 | $4,570.88 |
Health New England Setting Professional Modifier Global Typical Low $288.40 Median $549.54 Typical High $602.56 | Professional | Global | $288.40 | $549.54 | $602.56 |
Mass General Brigham Setting Facility Modifier Global Typical Low $467.74 Median $1,949.84 Typical High $28,840.32 | Facility | Global | $467.74 | $1,949.84 | $28,840.32 |
Mass General Brigham Setting Facility Modifier 52 · Reduced service Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | 52 · Reduced service | $2,290.87 | $2,290.87 | $2,290.87 |
Mass General Brigham Setting Facility Modifier 53 · Discontinued Typical Low $239.88 Median $263.03 Typical High $575.44 | Facility | 53 · Discontinued | $239.88 | $263.03 | $575.44 |
Mass General Brigham Setting Professional Modifier Global Typical Low $204.17 Median $416.87 Typical High $1,071.52 | Professional | Global | $204.17 | $416.87 | $1,071.52 |
Mass General Brigham Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $204.17 Typical High $457.09 | Professional | 53 · Discontinued | $89.13 | $204.17 | $457.09 |
Tufts Setting Facility Modifier Global Typical Low $173.78 Median $223.87 Typical High $645.65 | Facility | Global | $173.78 | $223.87 | $645.65 |
Tufts Setting Professional Modifier Global Typical Low $100.00 Median $141.25 Typical High $275.42 | Professional | Global | $100.00 | $141.25 | $275.42 |
United Setting Facility Modifier Global Typical Low $512.86 Median $1,949.84 Typical High $5,128.61 | Facility | Global | $512.86 | $1,949.84 | $5,128.61 |
United Setting Professional Modifier Global Typical Low $204.17 Median $436.52 Typical High $1,000.00 | Professional | Global | $204.17 | $436.52 | $1,000.00 |
United Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $229.09 Typical High $338.84 | Professional | 53 · Discontinued | $114.82 | $229.09 | $338.84 |