How much rates vary
Facilitymedian $1,950 · 10th to 90th $162 to $6,918Professionalmedian $2,884 · 10th to 90th $186 to $11,220
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 $2,691.53 Median $3,388.44 Typical High $8,709.64 | Facility | None | $2,691.53 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $2,344.23 Typical High $2,884.03 | Professional | None | $131.83 | $2,344.23 | $2,884.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $794.33 Median $3,388.44 Typical High $7,585.78 | Facility | None | $794.33 | $3,388.44 | $7,585.78 |
AllWays Health Partners Setting Professional Modifier None Typical Low $234.42 Median $4,466.84 Typical High $17,782.79 | Professional | None | $234.42 | $4,466.84 | $17,782.79 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $380.19 | Facility | None | $162.18 | $162.18 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $6,456.54 Typical High $8,128.31 | Facility | None | $676.08 | $6,456.54 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $776.25 Typical High $7,079.46 | Professional | None | $213.80 | $776.25 | $7,079.46 |
Fallon Health Setting Facility Modifier None Typical Low $162.18 Median $208.93 Typical High $3,311.31 | Facility | None | $162.18 | $208.93 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $4,570.88 | Professional | None | $3,019.95 | $3,630.78 | $4,570.88 |
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 $194.98 Median $2,454.71 Typical High $7,244.36 | Professional | None | $194.98 | $2,454.71 | $7,244.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $794.33 Median $3,388.44 Typical High $7,585.78 | Facility | None | $794.33 | $3,388.44 | $7,585.78 |
Mass General Brigham Setting Professional Modifier None Typical Low $234.42 Median $4,466.84 Typical High $17,782.79 | Professional | None | $234.42 | $4,466.84 | $17,782.79 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $223.87 Median $2,290.87 Typical High $7,943.28 | Professional | None | $223.87 | $2,290.87 | $7,943.28 |
Well Sense Setting Facility Modifier None Typical Low $151.36 Median $2,290.87 Typical High $3,715.35 | Facility | None | $151.36 | $2,290.87 | $3,715.35 |
Well Sense Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $2,754.23 | Professional | None | $120.23 | $144.54 | $2,754.23 |
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 $66.07 Median $1,174.90 Typical High $1,258.93 | Professional | 52 · Reduced service | $66.07 | $1,174.90 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $467.74 Typical High $501.19 | Professional | 53 · Discontinued | $26.30 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $1,737.80 Typical High $1,905.46 | Professional | 54 · Surgery only | $100.00 | $1,737.80 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $346.74 Typical High $380.19 | Professional | 55 · Aftercare only | $19.95 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $234.42 Typical High $251.19 | Professional | 56 · Pre-op care only | $13.18 | $234.42 | $251.19 |
Where Massachusetts sits
The same service costs 33.1 times more in Alaska than in Kentucky. 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· 23rd of 51
$2,570
AK $5,495KY $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.