How much rates vary
Facilitymedian $1,622 · 10th to 90th $724 to $5,370Professionalmedian $2,399 · 10th to 90th $1,349 to $5,754
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 $1,348.96 Median $1,698.24 Typical High $4,786.30 | Facility | None | $1,348.96 | $1,698.24 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $3,890.45 | Professional | None | $1,348.96 | $1,698.24 | $3,890.45 |
AllWays Health Partners Setting Facility Modifier None Typical Low $724.44 Median $2,570.40 Typical High $5,888.44 | Facility | None | $724.44 | $2,570.40 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $2,691.53 Typical High $12,022.64 | Professional | None | $1,174.90 | $2,691.53 | $12,022.64 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,691.53 | Facility | None | $1,174.90 | $1,174.90 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,071.52 Typical High $1,548.82 | Facility | None | $446.68 | $1,071.52 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,715.35 | Professional | None | $1,548.82 | $2,089.30 | $3,715.35 |
Fallon Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $3,311.31 | Facility | None | $1,174.90 | $1,479.11 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,344.23 | $2,754.23 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,548.82 Median $2,691.53 Typical High $4,677.35 | Professional | None | $1,548.82 | $2,691.53 | $4,677.35 |
Mass General Brigham Setting Facility Modifier None Typical Low $724.44 Median $2,570.40 Typical High $5,888.44 | Facility | None | $724.44 | $2,570.40 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $2,691.53 Typical High $12,022.64 | Professional | None | $1,174.90 | $2,691.53 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $10,964.78 | Facility | None | $1,071.52 | $3,467.37 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,290.87 Typical High $5,754.40 | Professional | None | $1,659.59 | $2,290.87 | $5,754.40 |
Well Sense Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $2,041.74 | Facility | None | $676.08 | $1,288.25 | $2,041.74 |
Well Sense Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,230.27 | $1,479.11 |
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 $676.08 Median $851.14 Typical High $1,949.84 | Professional | 52 · Reduced service | $676.08 | $851.14 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $346.74 Typical High $776.25 | Professional | 53 · Discontinued | $269.15 | $346.74 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $257.04 Typical High $588.84 | Professional | 55 · Aftercare only | $204.17 | $257.04 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $169.82 Typical High $389.05 | Professional | 56 · Pre-op care only | $134.90 | $169.82 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,202.26 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $933.25 | $1,202.26 | $2,754.23 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $794.33 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $645.65 | $794.33 | $1,071.52 |
Where Massachusetts sits
The same service costs 5.1 times more in Alaska than in Texas. 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
$2,344
AK $4,786TX $933
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.