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 $1,621.81 Median $1,621.81 Typical High $7,413.10 | Facility | None | $1,621.81 | $1,621.81 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $7,413.10 | Professional | None | $1,621.81 | $1,621.81 | $7,413.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $10,964.78 | Facility | None | $3,467.37 | $3,548.13 | $10,964.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,445.44 Median $3,801.89 Typical High $19,498.45 | Professional | None | $1,445.44 | $3,801.89 | $19,498.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $4,168.69 Median $4,897.79 Typical High $6,456.54 | Facility | None | $4,168.69 | $4,897.79 | $6,456.54 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,454.71 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,511.89 | Professional | None | $1,778.28 | $1,778.28 | $2,511.89 |
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 $1,445.44 Median $3,235.94 Typical High $3,388.44 | Professional | None | $1,445.44 | $3,235.94 | $3,388.44 |
Health New England Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $10,964.78 | Facility | None | $3,467.37 | $3,548.13 | $10,964.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,445.44 Median $3,801.89 Typical High $19,498.45 | Professional | None | $1,445.44 | $3,801.89 | $19,498.45 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,230.27 | $1,995.26 | $3,630.78 |
Well Sense Setting Facility Modifier None Typical Low $3,311.31 Median $4,365.16 Typical High $6,606.93 | Facility | None | $3,311.31 | $4,365.16 | $6,606.93 |
Well Sense Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,884.03 | Professional | None | $2,398.83 | $2,398.83 | $2,884.03 |
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 $245.47 Median $245.47 Typical High $1,122.02 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $741.31 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $741.31 |
Where Massachusetts sits
The same service costs 2.3 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· 15th of 51
$3,090
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.