How much rates vary
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $660.69 | Professional | None | $457.09 | $457.09 | $660.69 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $2,290.87 Typical High $6,918.31 | Facility | None | $457.09 | $2,290.87 | $6,918.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $512.86 Median $1,148.15 Typical High $4,677.35 | Professional | None | $512.86 | $1,148.15 | $4,677.35 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,311.31 | Professional | None | $3,235.94 | $3,235.94 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,677.35 Typical High $5,888.44 | Facility | None | $758.58 | $4,677.35 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,148.15 | Professional | None | $616.60 | $616.60 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $3,311.31 | Facility | None | $457.09 | $588.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $776.25 | Professional | None | $501.19 | $588.84 | $776.25 |
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 $489.78 Median $933.25 Typical High $1,348.96 | Professional | None | $489.78 | $933.25 | $1,348.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $2,290.87 Typical High $6,918.31 | Facility | None | $457.09 | $2,290.87 | $6,918.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $512.86 Median $1,148.15 Typical High $4,677.35 | Professional | None | $512.86 | $1,148.15 | $4,677.35 |
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 $501.19 Median $676.08 Typical High $1,905.46 | Professional | None | $501.19 | $676.08 | $1,905.46 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $1,905.46 | Facility | None | $398.11 | $630.96 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $478.63 | Professional | None | $354.81 | $354.81 | $478.63 |
1 more rate 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 $338.84 Median $338.84 Typical High $512.86 | Professional | 54 · Surgery only | $338.84 | $338.84 | $512.86 |
Where Massachusetts sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 11th of 51
$794
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.