How much rates vary
Facilitymedian $3,020 · 10th to 90th $407 to $5,370Professionalmedian $5,012 · 10th to 90th $2,239 to $15,488
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 $2,818.38 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
AllWays Health Partners Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $4,073.80 | Facility | None | $316.23 | $1,047.13 | $4,073.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,951.21 Median $8,709.64 Typical High $15,488.17 | Professional | None | $2,951.21 | $8,709.64 | $15,488.17 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,238.72 | $3,548.13 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $741.31 Typical High $1,000.00 | Facility | None | $50.12 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $6,918.31 | Professional | None | $3,467.37 | $3,981.07 | $6,918.31 |
Fallon Health Setting Facility Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $5,888.44 | Facility | None | $2,691.53 | $4,570.88 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $6,025.60 | Professional | None | $2,691.53 | $4,677.35 | $6,025.60 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,691.53 Median $6,918.31 Typical High $10,232.93 | Professional | None | $2,691.53 | $6,918.31 | $10,232.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $316.23 Median $1,047.13 Typical High $4,073.80 | Facility | None | $316.23 | $1,047.13 | $4,073.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,951.21 Median $8,709.64 Typical High $15,488.17 | Professional | None | $2,951.21 | $8,709.64 | $15,488.17 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $5,128.61 Typical High $14,454.40 | Professional | None | $2,187.76 | $5,128.61 | $14,454.40 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,801.89 Typical High $5,370.32 | Facility | None | $2,511.89 | $3,801.89 | $5,370.32 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
8 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 $562.34 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $112.20 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $954.99 Typical High $1,258.93 | Professional | 53 · Discontinued | $724.44 | $954.99 | $1,258.93 |
BCBS Massachusetts Setting Professional Modifier 62 · Two surgeons Typical Low $1,819.70 Median $2,398.83 Typical High $3,162.28 | Professional | 62 · Two surgeons | $1,819.70 | $2,398.83 | $3,162.28 |
BCBS Massachusetts Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $467.74 Median $616.60 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $467.74 | $616.60 | $812.83 |
Where Massachusetts sits
The same service costs 5.6 times more in Alaska than in South Carolina. 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· 4th of 51
$4,365
AK $9,550SC $1,698
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.