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 $2,041.74 Median $2,041.74 Typical High $9,332.54 | Facility | None | $2,041.74 | $2,041.74 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $9,332.54 | Professional | None | $2,041.74 | $2,041.74 | $9,332.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $4,365.16 Median $4,466.84 Typical High $13,803.84 | Facility | None | $4,365.16 | $4,466.84 | $13,803.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,862.09 Median $4,786.30 Typical High $24,547.09 | Professional | None | $1,862.09 | $4,786.30 | $24,547.09 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5,248.07 Median $6,165.95 Typical High $8,128.31 | Facility | None | $5,248.07 | $6,165.95 | $8,128.31 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,388.44 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,388.44 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,089.30 | $2,951.21 |
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 $1,862.09 Median $4,168.69 Typical High $4,265.80 | Professional | None | $1,862.09 | $4,168.69 | $4,265.80 |
Health New England Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
Mass General Brigham Setting Facility Modifier None Typical Low $4,365.16 Median $4,466.84 Typical High $13,803.84 | Facility | None | $4,365.16 | $4,466.84 | $13,803.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,862.09 Median $4,786.30 Typical High $24,547.09 | Professional | None | $1,862.09 | $4,786.30 | $24,547.09 |
United Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $4,570.88 | Professional | None | $1,584.89 | $2,511.89 | $4,570.88 |
Well Sense Setting Facility Modifier None Typical Low $4,265.80 Median $5,754.40 Typical High $8,317.64 | Facility | None | $4,265.80 | $5,754.40 | $8,317.64 |
Well Sense Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,715.35 | Professional | None | $3,090.30 | $3,090.30 | $3,715.35 |
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 $309.03 Median $309.03 Typical High $1,412.54 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $1,412.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $933.25 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $933.25 |
Where Massachusetts sits
The same service costs 2.4 times more in Montana 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· 14th of 51
$3,981
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.