How much rates vary
Facilitymedian $34 · 10th to 90th $25 to $68Professionalmedian $16 · 10th to 90th $9 to $135
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 $16.98 Median $16.98 Typical High $53.70 | Facility | None | $16.98 | $16.98 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $16.98 | Professional | None | $12.02 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $8.51 Typical High $8.51 | Professional | 52 · Reduced service | $6.03 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $3.39 Typical High $3.39 | Professional | 53 · Discontinued | $2.40 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $2.51 Typical High $2.51 | Professional | 55 · Aftercare only | $1.82 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $1.70 Typical High $1.70 | Professional | 56 · Pre-op care only | $1.20 | $1.70 | $1.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $134.90 | Professional | None | $9.33 | $15.85 | $134.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $29.51 Median $34.67 Typical High $45.71 | Facility | None | $29.51 | $34.67 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
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 $12.02 Median $23.44 Typical High $23.44 | Professional | None | $12.02 | $23.44 | $23.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $134.90 | Professional | None | $9.33 | $15.85 | $134.90 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $6.03 Median $13.18 Typical High $15.85 | Professional | None | $6.03 | $13.18 | $15.85 |
Well Sense Setting Facility Modifier None Typical Low $19.05 Median $26.30 Typical High $38.90 | Facility | None | $19.05 | $26.30 | $38.90 |
Well Sense Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Where Massachusetts sits
The same service costs 3.2 times more in Montana than in New York. 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· 25th of 51
$15.85
MT $26.92NY $8.32
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.