How much rates vary
Facilitymedian $1,148 · 10th to 90th $269 to $5,248Professionalmedian $1,230 · 10th to 90th $324 to $4,786
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 $1,258.93 Median $2,884.03 Typical High $4,786.30 | Facility | None | $1,258.93 | $2,884.03 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,000.00 Typical High $1,584.89 | Professional | None | $323.59 | $1,000.00 | $1,584.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $5,495.41 | Facility | None | $512.86 | $1,949.84 | $5,495.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $338.84 Median $1,348.96 Typical High $11,481.54 | Professional | None | $338.84 | $1,348.96 | $11,481.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $630.96 | Facility | None | $269.15 | $269.15 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $269.15 Median $1,174.90 Typical High $2,041.74 | Professional | None | $269.15 | $1,174.90 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,691.53 Typical High $3,235.94 | Facility | None | $758.58 | $2,691.53 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $1,202.26 Typical High $2,630.27 | Professional | None | $426.58 | $1,202.26 | $2,630.27 |
Fallon Health Setting Facility Modifier None Typical Low $269.15 Median $354.81 Typical High $3,311.31 | Facility | None | $269.15 | $354.81 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,202.26 | $1,445.44 | $1,778.28 |
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 $309.03 Median $1,174.90 Typical High $3,311.31 | Professional | None | $309.03 | $1,174.90 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $5,495.41 | Facility | None | $512.86 | $1,949.84 | $5,495.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $338.84 Median $1,348.96 Typical High $11,481.54 | Professional | None | $338.84 | $1,348.96 | $11,481.54 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,818.38 Typical High $9,549.93 | Facility | None | $851.14 | $2,818.38 | $9,549.93 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,230.27 Typical High $3,801.89 | Professional | None | $371.54 | $1,230.27 | $3,801.89 |
Well Sense Setting Facility Modifier None Typical Low $245.47 Median $851.14 Typical High $1,380.38 | Facility | None | $245.47 | $851.14 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $1,148.15 | Professional | None | $263.03 | $316.23 | $1,148.15 |
3 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 54 · Surgery only Typical Low $239.88 Median $776.25 Typical High $933.25 | Professional | 54 · Surgery only | $239.88 | $776.25 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $154.88 Typical High $186.21 | Professional | 55 · Aftercare only | $47.86 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $102.33 Typical High $125.89 | Professional | 56 · Pre-op care only | $32.36 | $102.33 | $125.89 |
Where Massachusetts sits
The same service costs 4.8 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· 34th of 51
$1,202
AK $2,512NE $525
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.