How much rates vary
Facilitymedian $302 · 10th to 90th $79 to $3,311Professionalmedian $229 · 10th to 90th $87 to $661
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 $1,000.00 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $199.53 | Professional | None | $81.28 | $165.96 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $173.78 Median $741.31 Typical High $3,311.31 | Facility | None | $173.78 | $741.31 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $93.33 Median $263.03 Typical High $1,479.11 | Professional | None | $93.33 | $263.03 | $1,479.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $173.78 | Facility | None | $74.13 | $74.13 | $173.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $74.13 Median $234.42 Typical High $407.38 | Professional | None | $74.13 | $234.42 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $954.99 | Facility | None | $190.55 | $269.15 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $275.42 Typical High $446.68 | Professional | None | $128.82 | $275.42 | $446.68 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $3,311.31 | Facility | None | $81.28 | $100.00 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $407.38 | Professional | None | $257.04 | $302.00 | $407.38 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $93.33 Median $229.09 Typical High $549.54 | Professional | None | $93.33 | $229.09 | $549.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $173.78 Median $741.31 Typical High $3,311.31 | Facility | None | $173.78 | $741.31 | $3,311.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $93.33 Median $263.03 Typical High $1,479.11 | Professional | None | $93.33 | $263.03 | $1,479.11 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,348.96 Typical High $5,128.61 | Facility | None | $575.44 | $1,348.96 | $5,128.61 |
United Setting Professional Modifier None Typical Low $93.33 Median $229.09 Typical High $537.03 | Professional | None | $93.33 | $229.09 | $537.03 |
Well Sense Setting Facility Modifier None Typical Low $72.44 Median $141.25 Typical High $229.09 | Facility | None | $72.44 | $141.25 | $229.09 |
Well Sense Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $173.78 | Professional | None | $60.26 | $91.20 | $173.78 |
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 $40.74 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $40.74 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $24.55 Typical High $38.90 | Professional | 53 · Discontinued | $16.22 | $24.55 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $114.82 Typical High $144.54 | Professional | 54 · Surgery only | $60.26 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $22.91 Typical High $29.51 | Professional | 55 · Aftercare only | $12.02 | $22.91 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.30 Typical High $19.50 | Professional | 56 · Pre-op care only | $8.13 | $12.30 | $19.50 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 13th of 51
$229
AK $355MD $95.50
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.