How much rates vary
Facilitymedian $490 · 10th to 90th $214 to $2,399Professionalmedian $759 · 10th to 90th $316 to $1,950
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 $891.25 Median $2,691.53 Typical High $3,715.35 | Facility | None | $891.25 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $478.63 Typical High $933.25 | Professional | None | $251.19 | $478.63 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $199.53 Median $549.54 Typical High $1,862.09 | Facility | None | $199.53 | $549.54 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $346.74 Median $851.14 Typical High $4,677.35 | Professional | None | $346.74 | $851.14 | $4,677.35 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $645.65 | Facility | None | $281.84 | $346.74 | $645.65 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $281.84 Median $741.31 Typical High $1,288.25 | Professional | None | $281.84 | $741.31 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $831.76 | Facility | None | $478.63 | $676.08 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $741.31 Typical High $1,479.11 | Professional | None | $346.74 | $741.31 | $1,479.11 |
Fallon Health Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $3,311.31 | Facility | None | $288.40 | $363.08 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,122.02 | Professional | None | $794.33 | $933.25 | $1,122.02 |
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 $371.54 Median $758.58 Typical High $1,778.28 | Professional | None | $371.54 | $758.58 | $1,778.28 |
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 |
Health New England Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,023.29 | $1,949.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $199.53 Median $549.54 Typical High $1,862.09 | Facility | None | $199.53 | $549.54 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $346.74 Median $851.14 Typical High $4,677.35 | Professional | None | $346.74 | $851.14 | $4,677.35 |
Tufts Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,202.26 | Professional | None | $501.19 | $707.95 | $1,202.26 |
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 $371.54 Median $758.58 Typical High $1,819.70 | Professional | None | $371.54 | $758.58 | $1,819.70 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $741.31 | Facility | None | $213.80 | $380.19 | $741.31 |
Well Sense Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $549.54 | Professional | None | $251.19 | $302.00 | $549.54 |
1 more rate 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 54 · Surgery only Typical Low $190.55 Median $354.81 Typical High $660.69 | Professional | 54 · Surgery only | $190.55 | $354.81 | $660.69 |
Where Massachusetts sits
The same service costs 3.1 times more in Alaska 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.
Massachusetts· 8th of 51
$741
AK $1,288MD $417
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.