How much rates vary
Facilitymedian $148 · 10th to 90th $63 to $2,042Professionalmedian $174 · 10th to 90th $69 to $490
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 $120.23 Median $2,691.53 Typical High $5,128.61 | Facility | None | $120.23 | $2,691.53 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $120.23 Typical High $190.55 | Professional | None | $54.95 | $120.23 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $389.05 Typical High $1,862.09 | Facility | None | $52.48 | $389.05 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $1,096.48 | Professional | None | $77.62 | $199.53 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $147.91 | Facility | None | $63.10 | $63.10 | $147.91 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $63.10 Median $173.78 Typical High $309.03 | Professional | None | $63.10 | $173.78 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $100.00 | Facility | None | $50.12 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $173.78 Typical High $346.74 | Professional | None | $77.62 | $173.78 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $3,311.31 | Facility | None | $64.57 | $83.18 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $263.03 | Professional | None | $186.21 | $218.78 | $263.03 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $83.18 Median $177.83 Typical High $416.87 | Professional | None | $83.18 | $177.83 | $416.87 |
Health New England Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $223.87 | Professional | None | $181.97 | $213.80 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $389.05 Typical High $1,862.09 | Facility | None | $52.48 | $389.05 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $1,096.48 | Professional | None | $77.62 | $199.53 | $1,096.48 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,754.23 | Facility | None | $123.03 | $549.54 | $2,754.23 |
United Setting Professional Modifier None Typical Low $81.28 Median $173.78 Typical High $436.52 | Professional | None | $81.28 | $173.78 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $114.82 Typical High $194.98 | Facility | None | $54.95 | $114.82 | $194.98 |
Well Sense Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | None | $53.70 | $64.57 | $114.82 |
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 $27.54 Median $60.26 Typical High $95.50 | Professional | 52 · Reduced service | $27.54 | $60.26 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $23.99 Typical High $38.02 | Professional | 53 · Discontinued | $10.96 | $23.99 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $91.20 Typical High $141.25 | Professional | 54 · Surgery only | $41.69 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $18.20 Typical High $28.18 | Professional | 55 · Aftercare only | $8.32 | $18.20 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $12.02 Typical High $19.05 | Professional | 56 · Pre-op care only | $5.50 | $12.02 | $19.05 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 8th of 51
$174
AK $355MD $100
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.