How much rates vary
Facilitymedian $174 · 10th to 90th $123 to $186Professionalmedian $138 · 10th to 90th $100 to $355
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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $12.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $104.71 | Facility | None | $100.00 | $100.00 | $104.71 |
AllWays Health Partners Setting Professional Modifier None Typical Low $162.18 Median $912.01 Typical High $912.01 | Professional | None | $162.18 | $912.01 | $912.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $281.84 | Facility | None | $123.03 | $123.03 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | None | $158.49 | $158.49 | $204.17 |
Fallon Health Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $177.83 | Facility | None | $134.90 | $173.78 | $177.83 |
Fallon Health Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $331.13 | Professional | None | $218.78 | $257.04 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $100.00 Median $154.88 Typical High $213.80 | Professional | None | $100.00 | $154.88 | $213.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $104.71 | Facility | None | $100.00 | $100.00 | $104.71 |
Mass General Brigham Setting Professional Modifier None Typical Low $162.18 Median $912.01 Typical High $912.01 | Professional | None | $162.18 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $436.52 | Professional | None | $134.90 | $208.93 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $208.93 | Facility | None | $100.00 | $134.90 | $208.93 |
Where Massachusetts sits
The same service costs 2.6 times more in North Dakota than in Delaware. 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· 16th of 51
$141
ND $263DE $102
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.