How much rates vary
Facilitymedian $66 · 10th to 90th $27 to $2,399Professionalmedian $76 · 10th to 90th $31 to $214
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 $165.96 Median $2,187.76 Typical High $3,630.78 | Facility | None | $165.96 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $47.86 Typical High $77.62 | Professional | None | $21.88 | $47.86 | $77.62 |
AllWays Health Partners Setting Facility Modifier None Typical Low $19.95 Median $501.19 Typical High $2,344.23 | Facility | None | $19.95 | $501.19 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $32.36 Median $79.43 Typical High $1,445.44 | Professional | None | $32.36 | $79.43 | $1,445.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $63.10 | Facility | None | $26.92 | $26.92 | $63.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $93.33 | Professional | None | $22.91 | $38.90 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $831.76 | Facility | None | $50.12 | $100.00 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $70.79 Typical High $141.25 | Professional | None | $30.90 | $70.79 | $141.25 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $36.31 Typical High $3,311.31 | Facility | None | $29.51 | $36.31 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $117.49 | Professional | None | $85.11 | $100.00 | $117.49 |
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 $35.48 Median $77.62 Typical High $186.21 | Professional | None | $35.48 | $77.62 | $186.21 |
Mass General Brigham Setting Facility Modifier None Typical Low $19.95 Median $501.19 Typical High $2,344.23 | Facility | None | $19.95 | $501.19 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $32.36 Median $79.43 Typical High $1,445.44 | Professional | None | $32.36 | $79.43 | $1,445.44 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $34.67 Median $74.13 Typical High $173.78 | Professional | None | $34.67 | $74.13 | $173.78 |
Well Sense Setting Facility Modifier None Typical Low $25.70 Median $44.67 Typical High $74.13 | Facility | None | $25.70 | $44.67 | $74.13 |
Well Sense Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $53.70 | Professional | None | $21.88 | $26.30 | $53.70 |
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 $10.96 Median $23.99 Typical High $38.90 | Professional | 52 · Reduced service | $10.96 | $23.99 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $9.55 Typical High $15.85 | Professional | 53 · Discontinued | $4.37 | $9.55 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $16.60 Median $35.48 Typical High $58.88 | Professional | 54 · Surgery only | $16.60 | $35.48 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $7.08 Typical High $11.75 | Professional | 55 · Aftercare only | $3.31 | $7.08 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.19 Median $4.79 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.19 | $4.79 | $7.76 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 9th of 51
$75.86
AK $148TX $37.15
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.