How much rates vary
Facilitymedian $724 · 10th to 90th $251 to $3,631Professionalmedian $363 · 10th to 90th $245 to $1,514
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 $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $870.96 Typical High $3,311.31 | Facility | None | $331.13 | $870.96 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $245.47 Median $549.54 Typical High $1,513.56 | Professional | None | $245.47 | $549.54 | $1,513.56 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $851.14 | Professional | None | $501.19 | $501.19 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,318.26 | Facility | None | $676.08 | $1,023.29 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $575.44 | Professional | None | $363.08 | $363.08 | $575.44 |
Fallon Health Setting Facility Modifier None Typical Low $223.87 Median $281.84 Typical High $3,311.31 | Facility | None | $223.87 | $281.84 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $389.05 | Professional | None | $245.47 | $295.12 | $389.05 |
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 $245.47 Median $457.09 Typical High $676.08 | Professional | None | $245.47 | $457.09 | $676.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $870.96 Typical High $3,311.31 | Facility | None | $331.13 | $870.96 | $3,311.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $245.47 Median $549.54 Typical High $1,513.56 | Professional | None | $245.47 | $549.54 | $1,513.56 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $5,128.61 | Facility | None | $575.44 | $1,380.38 | $5,128.61 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $891.25 | Professional | None | $245.47 | $354.81 | $891.25 |
Well Sense Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $2,511.89 | Facility | None | $186.21 | $295.12 | $2,511.89 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,511.89 | $3,388.44 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Where Massachusetts sits
The same service costs 4.7 times more in Wyoming than in Utah. 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· 14th of 51
$372
WY $912UT $195
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.