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 $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5,370.32 Median $13,489.63 Typical High $17,378.01 | Facility | None | $5,370.32 | $13,489.63 | $17,378.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $5,248.07 Median $5,370.32 Typical High $7,943.28 | Professional | None | $5,248.07 | $5,370.32 | $7,943.28 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6,025.60 Median $6,760.83 Typical High $12,302.69 | Facility | None | $6,025.60 | $6,760.83 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $6,918.31 Median $11,220.18 Typical High $23,442.29 | Facility | None | $6,918.31 | $11,220.18 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,606.93 | Professional | None | $5,370.32 | $5,370.32 | $6,606.93 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $8,511.38 | Facility | None | $83.18 | $3,630.78 | $8,511.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5,248.07 Median $5,370.32 Typical High $8,912.51 | Professional | None | $5,248.07 | $5,370.32 | $8,912.51 |
Mass General Brigham Setting Facility Modifier None Typical Low $5,370.32 Median $13,489.63 Typical High $17,378.01 | Facility | None | $5,370.32 | $13,489.63 | $17,378.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $5,248.07 Median $5,370.32 Typical High $7,943.28 | Professional | None | $5,248.07 | $5,370.32 | $7,943.28 |
United Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $8,912.51 | Professional | None | $5,248.07 | $5,248.07 | $8,912.51 |
Well Sense Setting Facility Modifier None Typical Low $5,370.32 Median $7,413.10 Typical High $10,964.78 | Facility | None | $5,370.32 | $7,413.10 | $10,964.78 |
Well Sense Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,456.54 | Professional | None | $5,370.32 | $5,370.32 | $6,456.54 |
4 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 52 · Reduced service Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | 52 · Reduced service | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 53 · Discontinued | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 55 · Aftercare only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 56 · Pre-op care only | $537.03 | $537.03 | $537.03 |
Where Massachusetts sits
The same service costs 2.5 times more in Alaska 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· 21st of 51
$5,370
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.