How much rates vary
Facilitymedian $339 · 10th to 90th $120 to $2,512Professionalmedian $302 · 10th to 90th $123 to $813
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 $141.25 Median $2,137.96 Typical High $3,388.44 | Facility | None | $141.25 | $2,137.96 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $398.11 | Professional | None | $79.43 | $141.25 | $398.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $177.83 Median $707.95 Typical High $2,089.30 | Facility | None | $177.83 | $707.95 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $117.49 Median $309.03 Typical High $1,995.26 | Professional | None | $117.49 | $309.03 | $1,995.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $275.42 | Facility | None | $123.03 | $147.91 | $275.42 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $123.03 Median $275.42 Typical High $575.44 | Professional | None | $123.03 | $275.42 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $302.00 Typical High $436.52 | Facility | None | $53.70 | $302.00 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $316.23 Typical High $616.60 | Professional | None | $131.83 | $316.23 | $616.60 |
Fallon Health Setting Facility Modifier None Typical Low $109.65 Median $151.36 Typical High $3,311.31 | Facility | None | $109.65 | $151.36 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $489.78 | Professional | None | $346.74 | $407.38 | $489.78 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $128.82 Median $302.00 Typical High $758.58 | Professional | None | $128.82 | $302.00 | $758.58 |
Health New England Setting Facility Modifier None Typical Low $162.18 Median $316.23 Typical High $602.56 | Facility | None | $162.18 | $316.23 | $602.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $177.83 Median $707.95 Typical High $2,089.30 | Facility | None | $177.83 | $707.95 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $117.49 Median $309.03 Typical High $1,995.26 | Professional | None | $117.49 | $309.03 | $1,995.26 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $4,168.69 | Facility | None | $407.38 | $870.96 | $4,168.69 |
United Setting Professional Modifier None Typical Low $112.20 Median $245.47 Typical High $724.44 | Professional | None | $112.20 | $245.47 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $302.00 | Facility | None | $87.10 | $154.88 | $302.00 |
Well Sense Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $144.54 | Professional | None | $70.79 | $85.11 | $144.54 |
6 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 $39.81 Median $70.79 Typical High $125.89 | Professional | 52 · Reduced service | $39.81 | $70.79 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $28.18 Typical High $50.12 | Professional | 53 · Discontinued | $15.85 | $28.18 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $104.71 Typical High $186.21 | Professional | 54 · Surgery only | $58.88 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $21.38 Typical High $37.15 | Professional | 55 · Aftercare only | $11.75 | $21.38 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $14.13 Typical High $25.12 | Professional | 56 · Pre-op care only | $7.94 | $14.13 | $25.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $54.95 Median $97.72 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $54.95 | $97.72 | $173.78 |
Where Massachusetts sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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· 6th of 51
$302
AK $501KY $123
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.