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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,511.89 Median $4,786.30 Typical High $6,165.95 | Facility | None | $2,511.89 | $4,786.30 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,862.09 | $1,905.46 | $3,235.94 |
BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,187.76 Typical High $3,981.07 | Facility | None | $1,905.46 | $2,187.76 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,981.07 Typical High $8,317.64 | Facility | None | $2,454.71 | $3,981.07 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,187.76 | Professional | None | $1,905.46 | $1,905.46 | $2,187.76 |
Fallon Health Setting Facility Modifier None Typical Low $1,862.09 Median $2,570.40 Typical High $5,888.44 | Facility | None | $1,862.09 | $2,570.40 | $5,888.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $4,677.35 | Professional | None | $1,862.09 | $1,905.46 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,511.89 Median $4,786.30 Typical High $6,165.95 | Facility | None | $2,511.89 | $4,786.30 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $3,235.94 | Professional | None | $1,862.09 | $1,905.46 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,235.94 | Professional | None | $1,862.09 | $1,862.09 | $3,235.94 |
Well Sense Setting Facility Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $4,466.84 | Facility | None | $2,041.74 | $2,818.38 | $4,466.84 |
Well Sense Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,290.87 | Professional | None | $1,905.46 | $1,905.46 | $2,290.87 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Where Massachusetts sits
The same service costs 2.4 times more in Texas than in Rhode Island. 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· 22nd of 51
$1,995
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.