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 $18.20 Median $18.20 Typical High $28.18 | Facility | None | $18.20 | $18.20 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $16.22 Median $44.67 Typical High $58.88 | Facility | None | $16.22 | $44.67 | $58.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $32.36 | Professional | None | $18.20 | $20.42 | $32.36 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $37.15 | Facility | None | $18.20 | $20.42 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $32.36 Typical High $77.62 | Facility | None | $18.62 | $32.36 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
Fallon Health Setting Facility Modifier None Typical Low $18.20 Median $25.12 Typical High $38.90 | Facility | None | $18.20 | $25.12 | $38.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $38.02 | Professional | None | $18.20 | $19.50 | $38.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $16.22 Median $44.67 Typical High $58.88 | Facility | None | $16.22 | $44.67 | $58.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $32.36 | Professional | None | $18.20 | $20.42 | $32.36 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $60.26 | Professional | None | $19.50 | $20.42 | $60.26 |
Well Sense Setting Facility Modifier None Typical Low $21.38 Median $26.92 Typical High $41.69 | Facility | None | $21.38 | $26.92 | $41.69 |
Well Sense Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.88 | Professional | None | $18.20 | $18.20 | $21.88 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $3.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.82 | $1.82 | $1.82 |
Where Massachusetts sits
The same service costs 2.1 times more in Oklahoma than in Florida. 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· 18th of 51
$20.42
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.