How much rates vary
Facilitymedian $129 · 10th to 90th $52 to $2,239Professionalmedian $129 · 10th to 90th $60 to $331
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 $275.42 Median $2,187.76 Typical High $3,630.78 | Facility | None | $275.42 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $208.93 | Professional | None | $40.74 | $72.44 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $380.19 Typical High $1,862.09 | Facility | None | $52.48 | $380.19 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $724.44 | Professional | None | $69.18 | $134.90 | $724.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $123.03 | Facility | None | $52.48 | $52.48 | $123.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $44.67 Median $91.20 Typical High $154.88 | Professional | None | $44.67 | $91.20 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $446.68 Typical High $446.68 | Facility | None | $50.12 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $213.80 | Professional | None | $58.88 | $109.65 | $213.80 |
Fallon Health Setting Facility Modifier None Typical Low $53.70 Median $70.79 Typical High $3,311.31 | Facility | None | $53.70 | $70.79 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $169.82 | Professional | None | $123.03 | $144.54 | $169.82 |
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 $70.79 Median $128.82 Typical High $275.42 | Professional | None | $70.79 | $128.82 | $275.42 |
Health New England Setting Facility Modifier None Typical Low $269.15 Median $331.13 Typical High $3,235.94 | Facility | None | $269.15 | $331.13 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $380.19 Typical High $1,862.09 | Facility | None | $52.48 | $380.19 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $724.44 | Professional | None | $69.18 | $134.90 | $724.44 |
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 $70.79 Median $125.89 Typical High $263.03 | Professional | None | $70.79 | $125.89 | $263.03 |
Well Sense Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $117.49 | Facility | None | $40.74 | $72.44 | $117.49 |
Well Sense Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $91.20 | Professional | None | $58.88 | $70.79 | $91.20 |
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 $20.42 Median $35.48 Typical High $104.71 | Professional | 52 · Reduced service | $20.42 | $35.48 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $14.45 Typical High $41.69 | Professional | 53 · Discontinued | $8.32 | $14.45 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $53.70 Typical High $158.49 | Professional | 54 · Surgery only | $30.90 | $53.70 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $10.72 Typical High $31.62 | Professional | 55 · Aftercare only | $6.17 | $10.72 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $7.24 Typical High $20.89 | Professional | 56 · Pre-op care only | $4.07 | $7.24 | $20.89 |
Where Massachusetts sits
The same service costs 3.2 times more in Alaska than in New York. 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
$129
AK $245NY $77.62
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.