How much rates vary
Facilitymedian $2,344 · 10th to 90th $759 to $7,586Professionalmedian $1,445 · 10th to 90th $871 to $5,888
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 $1,778.28 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,778.28 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $3,019.95 Typical High $7,943.28 | Facility | None | $691.83 | $3,019.95 | $7,943.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $912.01 Median $2,187.76 Typical High $5,888.44 | Professional | None | $912.01 | $2,187.76 | $5,888.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,949.84 | Professional | None | $912.01 | $912.01 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $6,025.60 Typical High $7,762.47 | Facility | None | $676.08 | $6,025.60 | $7,762.47 |
Fallon Health Setting Facility Modifier None Typical Low $933.25 Median $1,174.90 Typical High $3,311.31 | Facility | None | $933.25 | $1,174.90 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,230.27 | $1,621.81 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $954.99 Median $1,819.70 Typical High $2,630.27 | Professional | None | $954.99 | $1,819.70 | $2,630.27 |
Health New England Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Health New England Setting Professional Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,288.25 | Professional | None | $1,122.02 | $1,174.90 | $1,288.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $3,019.95 Typical High $7,943.28 | Facility | None | $691.83 | $3,019.95 | $7,943.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $912.01 Median $2,187.76 Typical High $5,888.44 | Professional | None | $912.01 | $2,187.76 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $2,884.03 | Professional | None | $831.76 | $1,071.52 | $2,884.03 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $2,630.27 | Facility | None | $707.95 | $831.76 | $2,630.27 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
5 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 $407.38 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $81.28 |
Where Massachusetts sits
The same service costs 5.1 times more in Texas 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
$1,514
TX $3,981DE $776
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.