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 $151.36 Median $1,548.82 Typical High $2,290.87 | Professional | None | $151.36 | $1,548.82 | $2,290.87 |
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 $208.93 Median $2,238.72 Typical High $19,498.45 | Professional | None | $208.93 | $2,238.72 | $19,498.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $398.11 | Facility | None | $169.82 | $169.82 | $398.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $3,388.44 | Professional | None | $288.40 | $288.40 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,511.89 Typical High $3,235.94 | Facility | None | $741.31 | $2,511.89 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $812.83 Typical High $4,677.35 | Professional | None | $223.87 | $812.83 | $4,677.35 |
Fallon Health Setting Facility Modifier None Typical Low $151.36 Median $208.93 Typical High $3,311.31 | Facility | None | $151.36 | $208.93 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,454.71 | $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 $199.53 Median $1,659.59 Typical High $5,370.32 | Professional | None | $199.53 | $1,659.59 | $5,370.32 |
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 $208.93 Median $2,238.72 Typical High $19,498.45 | Professional | None | $208.93 | $2,238.72 | $19,498.45 |
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 $239.88 Median $1,380.38 Typical High $6,456.54 | Professional | None | $239.88 | $1,380.38 | $6,456.54 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $1,513.56 Typical High $2,344.23 | Facility | None | $162.18 | $1,513.56 | $2,344.23 |
Well Sense Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $3,981.07 | Professional | None | $165.96 | $199.53 | $3,981.07 |
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 $114.82 Median $1,174.90 Typical High $1,318.26 | Professional | 54 · Surgery only | $114.82 | $1,174.90 | $1,318.26 |
Where Massachusetts sits
The same service costs 10.5 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· 26th 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.