How much rates vary
Facilitymedian $105 · 10th to 90th $46 to $1,862Professionalmedian $107 · 10th to 90th $49 to $282
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 $33.88 Median $52.48 Typical High $177.83 | Facility | None | $33.88 | $52.48 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $117.49 | Professional | None | $33.88 | $52.48 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $295.12 Typical High $1,862.09 | Facility | None | $50.12 | $295.12 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $660.69 | Professional | None | $50.12 | $109.65 | $660.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $107.15 | Facility | None | $45.71 | $45.71 | $107.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $38.90 Median $66.07 Typical High $138.04 | Professional | None | $38.90 | $66.07 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $100.00 | Facility | None | $50.12 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $91.20 Typical High $181.97 | Professional | None | $48.98 | $91.20 | $181.97 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $3,311.31 | Facility | None | $46.77 | $60.26 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $158.49 | Professional | None | $114.82 | $134.90 | $158.49 |
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 $54.95 Median $109.65 Typical High $251.19 | Professional | None | $54.95 | $109.65 | $251.19 |
Health New England Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Facility | None | $60.26 | $60.26 | $63.10 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $295.12 Typical High $1,862.09 | Facility | None | $50.12 | $295.12 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $50.12 Median $109.65 Typical High $660.69 | Professional | None | $50.12 | $109.65 | $660.69 |
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 $50.12 Median $95.50 Typical High $223.87 | Professional | None | $50.12 | $95.50 | $223.87 |
Well Sense Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $93.33 | Facility | None | $33.11 | $60.26 | $93.33 |
Well Sense Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $58.88 | Professional | None | $33.11 | $39.81 | $58.88 |
4 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 $16.98 Median $26.30 Typical High $58.88 | Professional | 52 · Reduced service | $16.98 | $26.30 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $10.47 Typical High $23.44 | Professional | 53 · Discontinued | $6.76 | $10.47 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $7.76 Typical High $17.78 | Professional | 55 · Aftercare only | $5.01 | $7.76 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $5.25 Typical High $11.75 | Professional | 56 · Pre-op care only | $3.39 | $5.25 | $11.75 |
Where Massachusetts sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 10th of 51
$107
AK $191NJ $57.54
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.