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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $870.96 | Facility | None | $794.33 | $794.33 | $870.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $4,466.84 | Professional | None | $323.59 | $602.56 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $575.44 | Professional | None | $407.38 | $407.38 | $575.44 |
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 $331.13 Median $741.31 Typical High $758.58 | Professional | None | $331.13 | $741.31 | $758.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $870.96 | Facility | None | $794.33 | $794.33 | $870.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $4,466.84 | Professional | None | $323.59 | $602.56 | $4,466.84 |
United Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $831.76 | Professional | None | $281.84 | $467.74 | $831.76 |
Well Sense Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $2,630.27 | Facility | None | $741.31 | $1,584.89 | $2,630.27 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Where Massachusetts sits
The same service costs 3.2 times more in Michigan than in Ohio. 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· 28th of 51
$676
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.