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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | None | $24.55 | $24.55 | $31.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $20.89 Median $61.66 Typical High $81.28 | Facility | None | $20.89 | $61.66 | $81.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $36.31 | Professional | None | $23.99 | $24.55 | $36.31 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $24.55 Median $28.18 Typical High $51.29 | Facility | None | $24.55 | $28.18 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $107.15 | Facility | None | $31.62 | $51.29 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | None | $24.55 | $24.55 | $28.18 |
Fallon Health Setting Facility Modifier None Typical Low $24.55 Median $33.88 Typical High $47.86 | Facility | None | $24.55 | $33.88 | $47.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $40.74 | Professional | None | $23.99 | $24.55 | $40.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $20.89 Median $61.66 Typical High $81.28 | Facility | None | $20.89 | $61.66 | $81.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $36.31 | Professional | None | $23.99 | $24.55 | $36.31 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $40.74 | Professional | None | $23.99 | $23.99 | $40.74 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $36.31 Typical High $57.54 | Facility | None | $26.30 | $36.31 | $57.54 |
Well Sense Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | None | $24.55 | $24.55 | $29.51 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $2.45 |
Where Massachusetts sits
The same service costs 1.6 times more in Alaska than in Mississippi. 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· 44th of 51
$24.55
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.