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 $263.03 Median $263.03 Typical High $1,202.26 | Facility | None | $263.03 | $263.03 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $1,202.26 | Professional | None | $263.03 | $263.03 | $1,202.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $1,698.24 | Facility | None | $562.34 | $645.65 | $1,698.24 |
AllWays Health Partners Setting Professional Modifier None Typical Low $234.42 Median $602.56 Typical High $4,786.30 | Professional | None | $234.42 | $602.56 | $4,786.30 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $524.81 | Professional | None | $426.58 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | None | $275.42 | $275.42 | $389.05 |
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 $234.42 Median $524.81 Typical High $537.03 | Professional | None | $234.42 | $524.81 | $537.03 |
Health New England Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $562.34 Median $645.65 Typical High $1,698.24 | Facility | None | $562.34 | $645.65 | $1,698.24 |
Mass General Brigham Setting Professional Modifier None Typical Low $234.42 Median $602.56 Typical High $4,786.30 | Professional | None | $234.42 | $602.56 | $4,786.30 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None Typical Low $199.53 Median $316.23 Typical High $588.84 | Professional | None | $199.53 | $316.23 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,047.13 | Facility | None | $537.03 | $707.95 | $1,047.13 |
Well Sense Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | None | $389.05 | $389.05 | $467.74 |
2 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 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $177.83 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $120.23 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $120.23 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 20th of 51
$468
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.