How much rates vary
Facilitymedian $309 · 10th to 90th $132 to $2,399Professionalmedian $355 · 10th to 90th $148 to $2,399
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 $691.83 Median $2,691.53 Typical High $3,715.35 | Facility | None | $691.83 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $426.58 | Professional | None | $114.82 | $194.98 | $426.58 |
AllWays Health Partners Setting Facility Modifier None Typical Low $162.18 Median $467.74 Typical High $2,041.74 | Facility | None | $162.18 | $467.74 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $173.78 Median $389.05 Typical High $2,398.83 | Professional | None | $173.78 | $389.05 | $2,398.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $131.83 Median $158.49 Typical High $302.00 | Facility | None | $131.83 | $158.49 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $467.74 Typical High $776.25 | Facility | None | $323.59 | $467.74 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $707.95 | Professional | None | $169.82 | $354.81 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $3,311.31 | Facility | None | $131.83 | $173.78 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $346.74 Median $416.87 Typical High $512.86 | Professional | None | $346.74 | $416.87 | $512.86 |
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 $147.91 Median $338.84 Typical High $794.33 | Professional | None | $147.91 | $338.84 | $794.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $162.18 Median $467.74 Typical High $2,041.74 | Facility | None | $162.18 | $467.74 | $2,041.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $173.78 Median $389.05 Typical High $2,398.83 | Professional | None | $173.78 | $389.05 | $2,398.83 |
United Setting Facility Modifier None Typical Low $123.03 Median $549.54 Typical High $2,754.23 | Facility | None | $123.03 | $549.54 | $2,754.23 |
United Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $831.76 | Professional | None | $177.83 | $354.81 | $831.76 |
Well Sense Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $323.59 | Facility | None | $120.23 | $194.98 | $323.59 |
Well Sense Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $213.80 | Professional | None | $109.65 | $131.83 | $213.80 |
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 $57.54 Median $95.50 Typical High $213.80 | Professional | 52 · Reduced service | $57.54 | $95.50 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $38.90 Typical High $85.11 | Professional | 53 · Discontinued | $23.44 | $38.90 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $144.54 Typical High $323.59 | Professional | 54 · Surgery only | $87.10 | $144.54 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $28.84 Typical High $64.57 | Professional | 55 · Aftercare only | $17.38 | $28.84 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $19.50 Typical High $42.66 | Professional | 56 · Pre-op care only | $11.48 | $19.50 | $42.66 |
Where Massachusetts sits
The same service costs 3.1 times more in Wisconsin 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· 12th of 51
$355
WI $676KY $219
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.