How much rates vary
Facilitymedian $1,202 · 10th to 90th $87 to $5,754Professionalmedian $1,349 · 10th to 90th $95 to $6,761
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 $1,023.29 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,023.29 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $346.74 Typical High $1,513.56 | Professional | None | $69.18 | $346.74 | $1,513.56 |
AllWays Health Partners Setting Facility Modifier None Typical Low $70.79 Median $1,949.84 Typical High $7,244.36 | Facility | None | $70.79 | $1,949.84 | $7,244.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $102.33 Median $1,548.82 Typical High $10,232.93 | Professional | None | $102.33 | $1,548.82 | $10,232.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $199.53 | Facility | None | $87.10 | $104.71 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,691.53 Typical High $4,570.88 | Facility | None | $446.68 | $2,691.53 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $426.58 Typical High $3,388.44 | Professional | None | $151.36 | $426.58 | $3,388.44 |
Fallon Health Setting Facility Modifier None Typical Low $87.10 Median $114.82 Typical High $3,311.31 | Facility | None | $87.10 | $114.82 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,659.59 | $1,995.26 | $2,511.89 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $102.33 Median $1,412.54 Typical High $4,265.80 | Professional | None | $102.33 | $1,412.54 | $4,265.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $70.79 Median $1,949.84 Typical High $7,244.36 | Facility | None | $70.79 | $1,949.84 | $7,244.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $102.33 Median $1,548.82 Typical High $10,232.93 | Professional | None | $102.33 | $1,548.82 | $10,232.93 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $12,882.50 | Facility | None | $1,071.52 | $3,467.37 | $12,882.50 |
United Setting Professional Modifier None Typical Low $125.89 Median $436.52 Typical High $4,897.79 | Professional | None | $125.89 | $436.52 | $4,897.79 |
Well Sense Setting Facility Modifier None Typical Low $89.13 Median $1,122.02 Typical High $2,041.74 | Facility | None | $89.13 | $1,122.02 | $2,041.74 |
Well Sense Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $1,071.52 | Professional | None | $75.86 | $91.20 | $1,071.52 |
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 $34.67 Median $173.78 Typical High $512.86 | Professional | 52 · Reduced service | $34.67 | $173.78 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $69.18 Typical High $204.17 | Professional | 53 · Discontinued | $13.80 | $69.18 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $263.03 Typical High $776.25 | Professional | 54 · Surgery only | $52.48 | $263.03 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $52.48 Typical High $154.88 | Professional | 55 · Aftercare only | $10.47 | $52.48 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $102.33 Typical High $173.78 | Professional | 56 · Pre-op care only | $30.20 | $102.33 | $173.78 |
Where Massachusetts sits
The same service costs 19.1 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· 38th of 51
$1,288
AK $3,388NE $178
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.