How much rates vary
Facilitymedian $178 · 10th to 90th $83 to $2,188Professionalmedian $245 · 10th to 90th $110 to $631
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 $128.82 Median $2,137.96 Typical High $3,388.44 | Facility | None | $128.82 | $2,137.96 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $128.82 Typical High $457.09 | Professional | None | $70.79 | $128.82 | $457.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $75.86 Median $309.03 Typical High $1,819.70 | Facility | None | $75.86 | $309.03 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $1,548.82 | Professional | None | $120.23 | $245.47 | $1,548.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $229.09 | Facility | None | $97.72 | $97.72 | $229.09 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $295.12 | Professional | None | $83.18 | $141.25 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $199.53 Typical High $213.80 | Facility | None | $53.70 | $199.53 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $407.38 | Professional | None | $107.15 | $213.80 | $407.38 |
Fallon Health Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $3,311.31 | Facility | None | $97.72 | $128.82 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $371.54 | Professional | None | $263.03 | $316.23 | $371.54 |
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 $125.89 Median $251.19 Typical High $588.84 | Professional | None | $125.89 | $251.19 | $588.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $75.86 Median $309.03 Typical High $1,819.70 | Facility | None | $75.86 | $309.03 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $1,548.82 | Professional | None | $120.23 | $245.47 | $1,548.82 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $123.03 Median $234.42 Typical High $478.63 | Professional | None | $123.03 | $234.42 | $478.63 |
Well Sense Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $199.53 | Facility | None | $74.13 | $114.82 | $199.53 |
Well Sense Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $218.78 | Professional | None | $128.82 | $154.88 | $218.78 |
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 $64.57 Typical High $229.09 | Professional | 52 · Reduced service | $35.48 | $64.57 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $26.30 Typical High $91.20 | Professional | 53 · Discontinued | $14.13 | $26.30 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $97.72 Typical High $346.74 | Professional | 54 · Surgery only | $53.70 | $97.72 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $19.50 Typical High $69.18 | Professional | 55 · Aftercare only | $10.72 | $19.50 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $12.88 Typical High $45.71 | Professional | 56 · Pre-op care only | $7.08 | $12.88 | $45.71 |
Where Massachusetts sits
The same service costs 11.6 times more in Hawaii than in Maryland. 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.
Physician feeFacility fee
HI $3,027MD $261
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.