How much rates vary
Facilitymedian $219 · 10th to 90th $85 to $2,512Professionalmedian $204 · 10th to 90th $98 to $513
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 $398.11 Median $2,187.76 Typical High $3,630.78 | Facility | None | $398.11 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $245.47 | Professional | None | $69.18 | $107.15 | $245.47 |
AllWays Health Partners Setting Facility Modifier None Typical Low $190.55 Median $707.95 Typical High $2,089.30 | Facility | None | $190.55 | $707.95 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $1,096.48 | Professional | None | $102.33 | $218.78 | $1,096.48 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $204.17 | Facility | None | $87.10 | $87.10 | $204.17 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $245.47 | Professional | None | $74.13 | $144.54 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $489.78 | Facility | None | $100.00 | $147.91 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $338.84 | Professional | None | $97.72 | $165.96 | $338.84 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $112.20 Typical High $3,311.31 | Facility | None | $83.18 | $112.20 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $257.04 | Professional | None | $186.21 | $218.78 | $257.04 |
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 $114.82 Median $213.80 Typical High $416.87 | Professional | None | $114.82 | $213.80 | $416.87 |
Health New England Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $190.55 Median $707.95 Typical High $2,089.30 | Facility | None | $190.55 | $707.95 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $102.33 Median $218.78 Typical High $1,096.48 | Professional | None | $102.33 | $218.78 | $1,096.48 |
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 $104.71 Median $190.55 Typical High $398.11 | Professional | None | $104.71 | $190.55 | $398.11 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $109.65 Typical High $165.96 | Facility | None | $64.57 | $109.65 | $165.96 |
Well Sense Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $125.89 | Professional | None | $69.18 | $81.28 | $125.89 |
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 $34.67 Median $53.70 Typical High $123.03 | Professional | 52 · Reduced service | $34.67 | $53.70 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $21.88 Typical High $50.12 | Professional | 53 · Discontinued | $13.80 | $21.88 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $81.28 Typical High $186.21 | Professional | 54 · Surgery only | $51.29 | $81.28 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $16.22 Typical High $37.15 | Professional | 55 · Aftercare only | $10.47 | $16.22 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $10.96 Typical High $24.55 | Professional | 56 · Pre-op care only | $6.92 | $10.96 | $24.55 |
Where Massachusetts sits
The same service costs 3.2 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
$204
AK $372FL $117
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.