How much rates vary
Facilitymedian $174 · 10th to 90th $83 to $1,820Professionalmedian $209 · 10th to 90th $117 to $490
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 $97.72 Median $131.83 Typical High $389.05 | Facility | None | $97.72 | $131.83 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $302.00 | Professional | None | $97.72 | $131.83 | $302.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $67.61 Median $323.59 Typical High $1,862.09 | Facility | None | $67.61 | $323.59 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $123.03 Median $251.19 Typical High $1,148.15 | Professional | None | $123.03 | $251.19 | $1,148.15 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $251.19 | Facility | None | $109.65 | $109.65 | $251.19 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $316.23 | Professional | None | $109.65 | $181.97 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $177.83 Typical High $199.53 | Facility | None | $53.70 | $177.83 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $346.74 | Professional | None | $141.25 | $194.98 | $346.74 |
Fallon Health Setting Facility Modifier None Typical Low $107.15 Median $138.04 Typical High $3,311.31 | Facility | None | $107.15 | $138.04 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $269.15 | Professional | None | $199.53 | $229.09 | $269.15 |
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 $128.82 Median $234.42 Typical High $446.68 | Professional | None | $128.82 | $234.42 | $446.68 |
Mass General Brigham Setting Facility Modifier None Typical Low $67.61 Median $323.59 Typical High $1,862.09 | Facility | None | $67.61 | $323.59 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $123.03 Median $251.19 Typical High $1,148.15 | Professional | None | $123.03 | $251.19 | $1,148.15 |
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 $131.83 Median $194.98 Typical High $478.63 | Professional | None | $131.83 | $194.98 | $478.63 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $186.21 | Facility | None | $67.61 | $117.49 | $186.21 |
Well Sense Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | None | $75.86 | $97.72 | $117.49 |
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 $48.98 Median $66.07 Typical High $151.36 | Professional | 52 · Reduced service | $48.98 | $66.07 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.30 Typical High $60.26 | Professional | 53 · Discontinued | $19.50 | $26.30 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $19.95 Typical High $45.71 | Professional | 55 · Aftercare only | $14.79 | $19.95 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $13.18 Typical High $30.20 | Professional | 56 · Pre-op care only | $9.77 | $13.18 | $30.20 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $48.98 Median $61.66 Typical High $85.11 | Professional | 78 · Unplanned return to OR | $48.98 | $61.66 | $85.11 |
Where Massachusetts sits
The same service costs 4.0 times more in Alaska 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
$209
AK $437FL $110
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.