How much rates vary
Facilitymedian $83 · 10th to 90th $41 to $1,820Professionalmedian $89 · 10th to 90th $49 to $214
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 $40.74 Median $60.26 Typical High $181.97 | Facility | None | $40.74 | $60.26 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $128.82 | Professional | None | $40.74 | $60.26 | $128.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $257.04 Typical High $1,862.09 | Facility | None | $50.12 | $257.04 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $501.19 | Professional | None | $51.29 | $104.71 | $501.19 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $100.00 | Facility | None | $42.66 | $42.66 | $100.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $42.66 Median $77.62 Typical High $134.90 | Professional | None | $42.66 | $77.62 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $72.44 Typical High $199.53 | Facility | None | $50.12 | $72.44 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $154.88 | Professional | None | $57.54 | $87.10 | $154.88 |
Fallon Health Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $3,311.31 | Facility | None | $42.66 | $56.23 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $114.82 | Professional | None | $87.10 | $100.00 | $114.82 |
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 $52.48 Median $100.00 Typical High $190.55 | Professional | None | $52.48 | $100.00 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $257.04 Typical High $1,862.09 | Facility | None | $50.12 | $257.04 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $51.29 Median $104.71 Typical High $501.19 | Professional | None | $51.29 | $104.71 | $501.19 |
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 $54.95 Median $85.11 Typical High $194.98 | Professional | None | $54.95 | $85.11 | $194.98 |
Well Sense Setting Facility Modifier None Typical Low $27.54 Median $48.98 Typical High $75.86 | Facility | None | $27.54 | $48.98 | $75.86 |
Well Sense Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $54.95 | Professional | None | $32.36 | $43.65 | $54.95 |
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 $20.42 Median $30.20 Typical High $64.57 | Professional | 52 · Reduced service | $20.42 | $30.20 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.02 Typical High $25.70 | Professional | 53 · Discontinued | $8.13 | $12.02 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $9.12 Typical High $19.50 | Professional | 55 · Aftercare only | $6.03 | $9.12 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.03 Typical High $12.88 | Professional | 56 · Pre-op care only | $4.07 | $6.03 | $12.88 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $20.89 Median $29.51 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $20.89 | $29.51 | $39.81 |
Where Massachusetts sits
The same service costs 3.5 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· 10th of 51
$89.13
AK $182FL $52.48
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.