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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $3,801.89 | Facility | None | $1,174.90 | $1,288.25 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,513.56 | $2,290.87 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $2,570.40 | Facility | None | $1,230.27 | $1,412.54 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $5,623.41 | Facility | None | $1,659.59 | $2,691.53 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | None | $1,288.25 | $1,288.25 | $1,513.56 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $1,819.70 Typical High $5,888.44 | Facility | None | $83.18 | $1,819.70 | $5,888.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,513.56 | $2,570.40 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $3,801.89 | Facility | None | $1,174.90 | $1,288.25 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,174.90 | $1,513.56 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,513.56 | $2,570.40 |
Well Sense Setting Facility Modifier None Typical Low $1,412.54 Median $3,090.30 Typical High $5,754.40 | Facility | None | $1,412.54 | $3,090.30 | $5,754.40 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Where Massachusetts sits
The same service costs 1.8 times more in Alaska 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· 10th of 51
$1,514
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.