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 $549.54 Median $549.54 Typical High $2,511.89 | Facility | None | $549.54 | $549.54 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $2,511.89 | Professional | None | $549.54 | $549.54 | $2,511.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $3,715.35 | Facility | None | $1,174.90 | $1,202.26 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None Typical Low $489.78 Median $1,288.25 Typical High $6,606.93 | Professional | None | $489.78 | $1,288.25 | $6,606.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $2,187.76 | Facility | None | $1,412.54 | $1,659.59 | $2,187.76 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,071.52 | Professional | None | $912.01 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $741.31 | Professional | None | $524.81 | $524.81 | $741.31 |
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 $489.78 Median $1,096.48 Typical High $1,148.15 | Professional | None | $489.78 | $1,096.48 | $1,148.15 |
Health New England Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $3,715.35 | Facility | None | $1,174.90 | $1,202.26 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None Typical Low $489.78 Median $1,288.25 Typical High $6,606.93 | Professional | None | $489.78 | $1,288.25 | $6,606.93 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $1,230.27 | Professional | None | $416.87 | $676.08 | $1,230.27 |
Well Sense Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,238.72 | Facility | None | $1,122.02 | $1,513.56 | $2,238.72 |
Well Sense Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Professional | None | $831.76 | $831.76 | $1,000.00 |
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 $83.18 Median $83.18 Typical High $380.19 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $251.19 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $251.19 |
Where Massachusetts sits
The same service costs 2.4 times more in Hawaii 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
$1,072
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.