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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | None | $21.38 | $21.38 | $28.18 |
AllWays Health Partners Setting Facility Modifier None Typical Low $21.38 Median $23.99 Typical High $70.79 | Facility | None | $21.38 | $23.99 | $70.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $33.88 | Professional | None | $20.89 | $21.38 | $33.88 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $21.38 Median $24.55 Typical High $44.67 | Facility | None | $21.38 | $24.55 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $45.71 Typical High $93.33 | Facility | None | $28.18 | $45.71 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | None | $21.38 | $21.38 | $27.54 |
Fallon Health Setting Facility Modifier None Typical Low $21.38 Median $29.51 Typical High $41.69 | Facility | None | $21.38 | $29.51 | $41.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $35.48 | Professional | None | $20.89 | $21.38 | $35.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $21.38 Median $23.99 Typical High $70.79 | Facility | None | $21.38 | $23.99 | $70.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $20.89 Median $21.38 Typical High $33.88 | Professional | None | $20.89 | $21.38 | $33.88 |
Tufts Setting Facility Modifier None Typical Low $23.99 Median $25.70 Typical High $54.95 | Facility | None | $23.99 | $25.70 | $54.95 |
United Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | None | $20.89 | $20.89 | $35.48 |
Well Sense Setting Facility Modifier None Typical Low $22.91 Median $30.20 Typical High $50.12 | Facility | None | $22.91 | $30.20 | $50.12 |
Well Sense Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None | $21.38 | $21.38 | $25.70 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 56 · Pre-op care only | $2.14 | $2.14 | $2.14 |
Where Massachusetts sits
The same service costs 1.9 times more in Alaska than in Maryland. 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· 19th of 51
$22.91
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.