How much rates vary
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 $1,778.28 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,778.28 | $2,884.03 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $1,548.82 Typical High $2,238.72 | Professional | None | $128.82 | $1,548.82 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $2,818.38 Typical High $7,762.47 | Facility | None | $489.78 | $2,818.38 | $7,762.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $177.83 Median $2,238.72 Typical High $11,748.98 | Professional | None | $177.83 | $2,238.72 | $11,748.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $346.74 | Facility | None | $147.91 | $147.91 | $346.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $3,311.31 | Professional | None | $257.04 | $257.04 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,786.30 Typical High $6,165.95 | Facility | None | $741.31 | $4,786.30 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $707.95 Typical High $4,570.88 | Professional | None | $199.53 | $707.95 | $4,570.88 |
Fallon Health Setting Facility Modifier None Typical Low $138.04 Median $186.21 Typical High $3,311.31 | Facility | None | $138.04 | $186.21 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,949.84 | $2,398.83 | $3,019.95 |
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 $177.83 Median $1,621.81 Typical High $4,786.30 | Professional | None | $177.83 | $1,621.81 | $4,786.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $2,818.38 Typical High $7,762.47 | Facility | None | $489.78 | $2,818.38 | $7,762.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $177.83 Median $2,238.72 Typical High $11,748.98 | Professional | None | $177.83 | $2,238.72 | $11,748.98 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,884.03 Typical High $11,481.54 | Facility | None | $851.14 | $2,884.03 | $11,481.54 |
United Setting Professional Modifier None Typical Low $213.80 Median $1,380.38 Typical High $5,128.61 | Professional | None | $213.80 | $1,380.38 | $5,128.61 |
Well Sense Setting Facility Modifier None Typical Low $144.54 Median $1,479.11 Typical High $2,187.76 | Facility | None | $144.54 | $1,479.11 | $2,187.76 |
Well Sense Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $2,137.96 | Professional | None | $141.25 | $169.82 | $2,137.96 |
1 more rate 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 54 · Surgery only Typical Low $95.50 Median $1,148.15 Typical High $1,288.25 | Professional | 54 · Surgery only | $95.50 | $1,148.15 | $1,288.25 |
Where Massachusetts sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 28th of 51
$1,738
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.