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 $794.33 Median $8,912.51 Typical High $12,882.50 | Facility | None | $794.33 | $8,912.51 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $8,511.38 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,511.38 | $8,912.51 | $8,912.51 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $1,096.48 Typical High $5,754.40 | Facility | None | $346.74 | $1,096.48 | $5,754.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $141.25 Median $8,709.64 Typical High $47,863.01 | Professional | None | $141.25 | $8,709.64 | $47,863.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $10,000.00 Median $11,481.54 Typical High $20,892.96 | Facility | None | $10,000.00 | $11,481.54 | $20,892.96 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $16,218.10 Typical High $38,904.51 | Facility | None | $8,709.64 | $16,218.10 | $38,904.51 |
Cigna Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Fallon Health Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8,709.64 Median $8,912.51 Typical High $10,471.29 | Professional | None | $8,709.64 | $8,912.51 | $10,471.29 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $1,096.48 Typical High $5,754.40 | Facility | None | $346.74 | $1,096.48 | $5,754.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $141.25 Median $8,709.64 Typical High $47,863.01 | Professional | None | $141.25 | $8,709.64 | $47,863.01 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $9,332.54 | Professional | None | $8,709.64 | $8,709.64 | $9,332.54 |
Well Sense Setting Facility Modifier None Typical Low $10,471.29 Median $12,302.69 Typical High $18,620.87 | Facility | None | $10,471.29 | $12,302.69 | $18,620.87 |
Well Sense Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $12,022.64 | Professional | None | $8,912.51 | $8,912.51 | $12,022.64 |
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 $4,265.80 Median $4,466.84 Typical High $4,466.84 | Professional | 52 · Reduced service | $4,265.80 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,778.28 Typical High $1,778.28 | Professional | 53 · Discontinued | $1,698.24 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Professional | 55 · Aftercare only | $1,258.93 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $891.25 Typical High $891.25 | Professional | 56 · Pre-op care only | $851.14 | $891.25 | $891.25 |
Where Massachusetts sits
The same service costs 26.3 times more in Alaska than in Montana. 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
$8,913
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.