How much rates vary
Facilitymedian $479 · 10th to 90th $324 to $2,951Professionalmedian $2,042 · 10th to 90th $324 to $8,913
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 $1,380.38 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,380.38 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $1,122.02 Typical High $2,570.40 | Professional | None | $213.80 | $1,122.02 | $2,570.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $3,548.13 | Facility | None | $630.96 | $1,023.29 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $371.54 Median $2,818.38 Typical High $14,454.40 | Professional | None | $371.54 | $2,818.38 | $14,454.40 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $758.58 | Facility | None | $323.59 | $323.59 | $758.58 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $323.59 Median $1,318.26 Typical High $2,398.83 | Professional | None | $323.59 | $1,318.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,096.48 Typical High $4,168.69 | Professional | None | $446.68 | $1,096.48 | $4,168.69 |
Fallon Health Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $3,311.31 | Facility | None | $302.00 | $407.38 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $4,168.69 | Professional | None | $2,454.71 | $3,019.95 | $4,168.69 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $363.08 Median $1,737.80 Typical High $5,623.41 | Professional | None | $363.08 | $1,737.80 | $5,623.41 |
Health New England Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Mass General Brigham Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $3,548.13 | Facility | None | $630.96 | $1,023.29 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $371.54 Median $2,818.38 Typical High $14,454.40 | Professional | None | $371.54 | $2,818.38 | $14,454.40 |
United Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $380.19 Median $1,479.11 Typical High $5,623.41 | Professional | None | $380.19 | $1,479.11 | $5,623.41 |
Well Sense Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $2,398.83 | Facility | None | $275.42 | $549.54 | $2,398.83 |
Well Sense Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $1,949.84 | Professional | None | $251.19 | $302.00 | $1,949.84 |
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 $107.15 Median $691.83 Typical High $1,122.02 | Professional | 52 · Reduced service | $107.15 | $691.83 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $275.42 Typical High $446.68 | Professional | 53 · Discontinued | $42.66 | $275.42 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $1,023.29 Typical High $1,698.24 | Professional | 54 · Surgery only | $158.49 | $1,023.29 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $204.17 Typical High $338.84 | Professional | 55 · Aftercare only | $31.62 | $204.17 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $138.04 Typical High $223.87 | Professional | 56 · Pre-op care only | $21.38 | $138.04 | $223.87 |
Where Massachusetts sits
The same service costs 5.5 times more in Washington 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· 15th of 51
$1,950
WA $2,818KY $513
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.