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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $213.80 | Facility | None | $66.07 | $66.07 | $213.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $131.83 | Professional | None | $66.07 | $89.13 | $131.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $85.11 Median $95.50 Typical High $173.78 | Facility | None | $85.11 | $95.50 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $331.13 | Facility | None | $97.72 | $158.49 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | None | $75.86 | $75.86 | $93.33 |
Fallon Health Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $83.18 | Facility | None | $56.23 | $83.18 | $83.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $151.36 | Professional | None | $75.86 | $89.13 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $213.80 | Facility | None | $66.07 | $66.07 | $213.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $131.83 | Professional | None | $66.07 | $89.13 | $131.83 |
United Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $151.36 | Professional | None | $75.86 | $89.13 | $151.36 |
5 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 $38.02 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $7.59 |
Well Sense Setting Facility Modifier 52 · Reduced service Typical Low $691.83 Median $691.83 Typical High $758.58 | Facility | 52 · Reduced service | $691.83 | $691.83 | $758.58 |
Where Massachusetts sits
The same service costs 70.8 times more in Alaska than in Kentucky. 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· 20th of 51
$89.13
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.