How much rates vary
Facilitymedian $1,445 · 10th to 90th $457 to $5,754Professionalmedian $661 · 10th to 90th $324 to $2,818
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 $758.58 Median $2,818.38 Typical High $5,128.61 | Facility | None | $758.58 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $512.86 | Professional | None | $204.17 | $204.17 | $512.86 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $2,570.40 Typical High $6,918.31 | Facility | None | $512.86 | $2,570.40 | $6,918.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $380.19 Median $1,122.02 Typical High $2,818.38 | Professional | None | $380.19 | $1,122.02 | $2,818.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $3,890.45 Typical High $5,754.40 | Facility | None | $446.68 | $3,890.45 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,348.96 | Professional | None | $562.34 | $562.34 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $416.87 Median $524.81 Typical High $3,311.31 | Facility | None | $416.87 | $524.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $446.68 Median $524.81 Typical High $645.65 | Professional | None | $446.68 | $524.81 | $645.65 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $436.52 Median $851.14 Typical High $1,819.70 | Professional | None | $436.52 | $851.14 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $2,570.40 Typical High $6,918.31 | Facility | None | $512.86 | $2,570.40 | $6,918.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $380.19 Median $1,122.02 Typical High $2,818.38 | Professional | None | $380.19 | $1,122.02 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $11,481.54 | Facility | None | $1,047.13 | $2,344.23 | $11,481.54 |
United Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,819.70 | Professional | None | $371.54 | $630.96 | $1,819.70 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $676.08 | Facility | None | $331.13 | $457.09 | $676.08 |
Well Sense Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None | $190.55 | $190.55 | $229.09 |
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 $102.33 Median $102.33 Typical High $380.19 | Professional | 52 · Reduced service | $102.33 | $102.33 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $151.36 | Professional | 53 · Discontinued | $40.74 | $40.74 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $562.34 | Professional | 54 · Surgery only | $154.88 | $154.88 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $112.20 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $75.86 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $75.86 |
Where Massachusetts sits
The same service costs 5.2 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· 17th of 51
$759
AK $1,820KY $347
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.