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 $1,862.09 Median $1,862.09 Typical High $2,344.23 | Facility | None | $1,862.09 | $1,862.09 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,949.84 | Professional | None | $1,862.09 | $1,862.09 | $1,949.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $6,025.60 | Facility | None | $1,659.59 | $1,862.09 | $6,025.60 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,819.70 | $1,862.09 | $2,691.53 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,801.89 | Facility | None | $1,862.09 | $2,137.96 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $8,128.31 | Facility | None | $2,398.83 | $3,890.45 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
Fallon Health Setting Facility Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $4,897.79 | Facility | None | $1,862.09 | $2,511.89 | $4,897.79 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,819.70 | $1,862.09 | $3,090.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,659.59 Median $1,862.09 Typical High $6,025.60 | Facility | None | $1,659.59 | $1,862.09 | $6,025.60 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,691.53 | Professional | None | $1,819.70 | $1,862.09 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,819.70 | $1,862.09 | $3,090.30 |
Well Sense Setting Facility Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $4,365.16 | Facility | None | $1,995.26 | $2,630.27 | $4,365.16 |
Well Sense Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
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 $933.25 Median $933.25 Typical High $977.24 | Professional | 52 · Reduced service | $933.25 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 53 · Discontinued | $371.54 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $194.98 |
Where Massachusetts sits
The same service costs 3.2 times more in Alabama than in Hawaii. 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· 31st of 51
$1,862
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.