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 $239.88 Median $239.88 Typical High $1,096.48 | Facility | None | $239.88 | $239.88 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $1,096.48 | Professional | None | $239.88 | $239.88 | $1,096.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $524.81 Typical High $1,548.82 | Facility | None | $489.78 | $524.81 | $1,548.82 |
AllWays Health Partners Setting Professional Modifier None Typical Low $213.80 Median $562.34 Typical High $3,388.44 | Professional | None | $213.80 | $562.34 | $3,388.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $977.24 | Facility | None | $316.23 | $316.23 | $977.24 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $489.78 | Professional | None | $363.08 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $371.54 | Facility | None | $316.23 | $346.74 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
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 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $213.80 Median $478.63 Typical High $501.19 | Professional | None | $213.80 | $478.63 | $501.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $524.81 Typical High $1,548.82 | Facility | None | $489.78 | $524.81 | $1,548.82 |
Mass General Brigham Setting Professional Modifier None Typical Low $213.80 Median $562.34 Typical High $3,388.44 | Professional | None | $213.80 | $562.34 | $3,388.44 |
United Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $676.08 | Facility | None | $173.78 | $251.19 | $676.08 |
United Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $512.86 | Professional | None | $181.97 | $295.12 | $512.86 |
Well Sense Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $977.24 | Facility | None | $489.78 | $660.69 | $977.24 |
Well Sense Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | None | $363.08 | $363.08 | $426.58 |
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 $120.23 Median $120.23 Typical High $549.54 | Professional | 52 · Reduced service | $120.23 | $120.23 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $218.78 | Professional | 53 · Discontinued | $47.86 | $47.86 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $165.96 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $109.65 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $109.65 |
Where Massachusetts sits
The same service costs 2.9 times more in Iowa than in Kansas. 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· 12th of 51
$447
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.