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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
AllWays Health Partners Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $107.15 | Facility | None | $31.62 | $35.48 | $107.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $141.25 | Professional | None | $32.36 | $32.36 | $141.25 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $32.36 Median $37.15 Typical High $67.61 | Facility | None | $32.36 | $37.15 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $141.25 | Facility | None | $41.69 | $67.61 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Fallon Health Setting Facility Modifier None Typical Low $32.36 Median $42.66 Typical High $83.18 | Facility | None | $32.36 | $42.66 | $83.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $31.62 Median $35.48 Typical High $107.15 | Facility | None | $31.62 | $35.48 | $107.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $141.25 | Professional | None | $32.36 | $32.36 | $141.25 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Well Sense Setting Facility Modifier None Typical Low $35.48 Median $47.86 Typical High $75.86 | Facility | None | $35.48 | $47.86 | $75.86 |
Well Sense Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $43.65 | Professional | None | $32.36 | $32.36 | $43.65 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.24 |
Where Massachusetts sits
Rates are fairly even across states for this service. 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· 49th of 51
$32.36
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.