How much rates vary
Facilitymedian $151 · 10th to 90th $68 to $1,862Professionalmedian $182 · 10th to 90th $72 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 $125.89 Median $2,691.53 Typical High $5,128.61 | Facility | None | $125.89 | $2,691.53 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $223.87 | Professional | None | $57.54 | $125.89 | $223.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $95.50 Median $389.05 Typical High $1,862.09 | Facility | None | $95.50 | $389.05 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $83.18 Median $204.17 Typical High $1,122.02 | Professional | None | $83.18 | $204.17 | $1,122.02 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $154.88 | Facility | None | $67.61 | $67.61 | $154.88 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $309.03 | Professional | None | $67.61 | $151.36 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $141.25 Typical High $204.17 | Facility | None | $53.70 | $141.25 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $177.83 Typical High $354.81 | Professional | None | $81.28 | $177.83 | $354.81 |
Fallon Health Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $3,311.31 | Facility | None | $67.61 | $85.11 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $269.15 | Professional | None | $190.55 | $223.87 | $269.15 |
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 $85.11 Median $181.97 Typical High $426.58 | Professional | None | $85.11 | $181.97 | $426.58 |
Health New England Setting Professional Modifier None Typical Low $204.17 Median $245.47 Typical High $251.19 | Professional | None | $204.17 | $245.47 | $251.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $95.50 Median $389.05 Typical High $1,862.09 | Facility | None | $95.50 | $389.05 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $83.18 Median $204.17 Typical High $1,122.02 | Professional | None | $83.18 | $204.17 | $1,122.02 |
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 $83.18 Median $177.83 Typical High $446.68 | Professional | None | $83.18 | $177.83 | $446.68 |
Well Sense Setting Facility Modifier None Typical Low $61.66 Median $104.71 Typical High $186.21 | Facility | None | $61.66 | $104.71 | $186.21 |
Well Sense Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $107.15 | Professional | None | $52.48 | $63.10 | $107.15 |
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 $28.84 Median $61.66 Typical High $93.33 | Professional | 52 · Reduced service | $28.84 | $61.66 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $25.12 Typical High $37.15 | Professional | 53 · Discontinued | $11.48 | $25.12 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $93.33 Typical High $141.25 | Professional | 54 · Surgery only | $43.65 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $18.62 Typical High $28.18 | Professional | 55 · Aftercare only | $8.71 | $18.62 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $12.59 Typical High $18.62 | Professional | 56 · Pre-op care only | $5.75 | $12.59 | $18.62 |
Where Massachusetts sits
The same service costs 3.2 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· 8th of 51
$178
AK $309KY $97.72
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.