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 $25.70 Median $25.70 Typical High $69.18 | Facility | None | $25.70 | $25.70 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $25.12 Median $64.57 Typical High $83.18 | Facility | None | $25.12 | $64.57 | $83.18 |
AllWays Health Partners Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $41.69 | Professional | None | $25.70 | $27.54 | $41.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $52.48 | Facility | None | $25.70 | $28.84 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $53.70 Typical High $109.65 | Facility | None | $33.11 | $53.70 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $33.11 Typical High $83.18 | Facility | None | $25.70 | $33.11 | $83.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $46.77 | Professional | None | $25.70 | $27.54 | $46.77 |
Mass General Brigham Setting Facility Modifier None Typical Low $25.12 Median $64.57 Typical High $83.18 | Facility | None | $25.12 | $64.57 | $83.18 |
Mass General Brigham Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $41.69 | Professional | None | $25.70 | $27.54 | $41.69 |
United Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | None | $27.54 | $27.54 | $46.77 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $38.02 Typical High $58.88 | Facility | None | $30.20 | $38.02 | $58.88 |
Well Sense Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | None | $25.70 | $25.70 | $30.90 |
2 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 55 · Aftercare only Typical Low $3.80 Median $3.80 Typical High $3.98 | Professional | 55 · Aftercare only | $3.80 | $3.80 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $2.63 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $2.63 |
Where Massachusetts sits
The same service costs 1.9 times more in Alaska than in New Jersey. 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
$27.54
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.