How much rates vary
Facilitymedian $166 · 10th to 90th $76 to $2,042Professionalmedian $214 · 10th to 90th $98 to $501
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 $97.72 Median $2,691.53 Typical High $5,128.61 | Facility | None | $97.72 | $2,691.53 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $263.03 | Professional | None | $70.79 | $97.72 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $66.07 Median $524.81 Typical High $1,862.09 | Facility | None | $66.07 | $524.81 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $109.65 Median $239.88 Typical High $1,148.15 | Professional | None | $109.65 | $239.88 | $1,148.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $223.87 | Facility | None | $95.50 | $95.50 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $123.03 Typical High $177.83 | Facility | None | $53.70 | $123.03 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $346.74 | Professional | None | $109.65 | $169.82 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $3,311.31 | Facility | None | $89.13 | $123.03 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $275.42 | Professional | None | $199.53 | $234.42 | $275.42 |
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 $117.49 Median $229.09 Typical High $446.68 | Professional | None | $117.49 | $229.09 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $66.07 Median $524.81 Typical High $1,862.09 | Facility | None | $66.07 | $524.81 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $109.65 Median $239.88 Typical High $1,148.15 | Professional | None | $109.65 | $239.88 | $1,148.15 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,818.38 | Facility | None | $123.03 | $549.54 | $2,818.38 |
United Setting Professional Modifier None Typical Low $112.20 Median $190.55 Typical High $407.38 | Professional | None | $112.20 | $190.55 | $407.38 |
Well Sense Setting Facility Modifier None Typical Low $66.07 Median $112.20 Typical High $173.78 | Facility | None | $66.07 | $112.20 | $173.78 |
Well Sense Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $117.49 | Professional | None | $70.79 | $85.11 | $117.49 |
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 $35.48 Median $47.86 Typical High $131.83 | Professional | 52 · Reduced service | $35.48 | $47.86 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $52.48 | Professional | 53 · Discontinued | $14.13 | $19.50 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $72.44 Typical High $199.53 | Professional | 54 · Surgery only | $52.48 | $72.44 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.45 Typical High $39.81 | Professional | 55 · Aftercare only | $10.47 | $14.45 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.77 Typical High $26.30 | Professional | 56 · Pre-op care only | $7.08 | $9.77 | $26.30 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$209
AK $407FL $110
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.