How much rates vary
Facilitymedian $112 · 10th to 90th $71 to $2,818Professionalmedian $200 · 10th to 90th $78 to $1,820
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 $512.86 Median $2,187.76 Typical High $3,630.78 | Facility | None | $512.86 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $128.82 Typical High $169.82 | Professional | None | $57.54 | $128.82 | $169.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $1,023.29 Typical High $3,548.13 | Facility | None | $162.18 | $1,023.29 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $79.43 Median $245.47 Typical High $1,819.70 | Professional | None | $79.43 | $245.47 | $1,819.70 |
BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $162.18 | Facility | None | $70.79 | $70.79 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $380.19 | Professional | None | $114.82 | $204.17 | $380.19 |
Fallon Health Setting Facility Modifier None Typical Low $70.79 Median $87.10 Typical High $3,311.31 | Facility | None | $70.79 | $87.10 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $331.13 | Professional | None | $194.98 | $239.88 | $331.13 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $77.62 Median $190.55 Typical High $467.74 | Professional | None | $77.62 | $190.55 | $467.74 |
Health New England Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $1,023.29 Typical High $3,548.13 | Facility | None | $162.18 | $1,023.29 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $79.43 Median $245.47 Typical High $1,819.70 | Professional | None | $79.43 | $245.47 | $1,819.70 |
United Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $85.11 Median $199.53 Typical High $489.78 | Professional | None | $85.11 | $199.53 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $66.07 Median $128.82 Typical High $218.78 | Facility | None | $66.07 | $128.82 | $218.78 |
Well Sense Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $147.91 | Professional | None | $58.88 | $70.79 | $147.91 |
6 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 $28.84 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $28.84 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $11.48 | $25.70 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $97.72 Typical High $123.03 | Professional | 54 · Surgery only | $43.65 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $19.50 Typical High $25.12 | Professional | 55 · Aftercare only | $8.71 | $19.50 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $12.88 Typical High $16.60 | Professional | 56 · Pre-op care only | $5.75 | $12.88 | $16.60 |
BCBS Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $22.91 Typical High $39.81 | Professional | 53 · Discontinued | $17.38 | $22.91 | $39.81 |
Where Massachusetts sits
The same service costs 2.6 times more in Wisconsin 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· 11th of 51
$200
WI $309FL $120
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.