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 $1,000.00 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 $112.20 Median $112.20 Typical High $177.83 | Professional | None | $112.20 | $112.20 | $177.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $85.11 Median $741.31 Typical High $3,801.89 | Facility | None | $85.11 | $741.31 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $128.82 Median $288.40 Typical High $1,174.90 | Professional | None | $128.82 | $288.40 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,000.00 | Facility | None | $588.84 | $676.08 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $295.12 | Professional | None | $177.83 | $181.97 | $295.12 |
Fallon Health Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $3,311.31 | Facility | None | $114.82 | $151.36 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $199.53 | Professional | None | $125.89 | $147.91 | $199.53 |
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 $128.82 Median $239.88 Typical High $331.13 | Professional | None | $128.82 | $239.88 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $85.11 Median $741.31 Typical High $3,801.89 | Facility | None | $85.11 | $741.31 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $128.82 Median $288.40 Typical High $1,174.90 | Professional | None | $128.82 | $288.40 | $1,174.90 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,318.26 Typical High $6,456.54 | Facility | None | $575.44 | $1,318.26 | $6,456.54 |
United Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $457.09 | Professional | None | $123.03 | $158.49 | $457.09 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $173.78 | Facility | None | $85.11 | $117.49 | $173.78 |
Well Sense Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
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 $85.11 Median $85.11 Typical High $134.90 | Professional | 54 · Surgery only | $85.11 | $85.11 | $134.90 |
Where Massachusetts sits
The same service costs 4.9 times more in Alaska 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· 12th of 51
$200
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.