How much rates vary
Facilitymedian $851 · 10th to 90th $141 to $5,248Professionalmedian $380 · 10th to 90th $151 to $2,138
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 $630.96 Median $2,818.38 Typical High $4,677.35 | Facility | None | $630.96 | $2,818.38 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $371.54 | Professional | None | $109.65 | $229.09 | $371.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $676.08 Median $2,089.30 Typical High $5,888.44 | Facility | None | $676.08 | $2,089.30 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $154.88 Median $407.38 Typical High $2,137.96 | Professional | None | $154.88 | $407.38 | $2,137.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $331.13 | Facility | None | $141.25 | $141.25 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,137.96 Typical High $3,090.30 | Facility | None | $446.68 | $2,137.96 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $446.68 Typical High $707.95 | Professional | None | $229.09 | $446.68 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $141.25 Median $181.97 Typical High $3,311.31 | Facility | None | $141.25 | $181.97 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $524.81 | Professional | None | $354.81 | $436.52 | $524.81 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,818.38 Typical High $7,762.47 | Facility | None | $741.31 | $2,818.38 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $151.36 Median $354.81 Typical High $831.76 | Professional | None | $151.36 | $354.81 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $676.08 Median $2,089.30 Typical High $5,888.44 | Facility | None | $676.08 | $2,089.30 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $154.88 Median $407.38 Typical High $2,137.96 | Professional | None | $154.88 | $407.38 | $2,137.96 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $10,471.29 | Facility | None | $851.14 | $2,818.38 | $10,471.29 |
United Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $831.76 | Professional | None | $154.88 | $389.05 | $831.76 |
Well Sense Setting Facility Modifier None Typical Low $125.89 Median $245.47 Typical High $1,148.15 | Facility | None | $125.89 | $245.47 | $1,148.15 |
Well Sense Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $204.17 | Professional | None | $93.33 | $112.20 | $204.17 |
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 $54.95 Median $114.82 Typical High $186.21 | Professional | 52 · Reduced service | $54.95 | $114.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $45.71 Typical High $74.13 | Professional | 53 · Discontinued | $21.88 | $45.71 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $169.82 Typical High $275.42 | Professional | 54 · Surgery only | $81.28 | $169.82 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $33.88 Typical High $54.95 | Professional | 55 · Aftercare only | $16.22 | $33.88 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $22.91 Typical High $37.15 | Professional | 56 · Pre-op care only | $10.96 | $22.91 | $37.15 |
Where Massachusetts sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 13th of 51
$389
AK $955HI $166
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.