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 $537.03 Median $2,187.76 Typical High $3,630.78 | Facility | None | $537.03 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $125.89 Typical High $186.21 | Professional | None | $30.90 | $125.89 | $186.21 |
AllWays Health Partners Setting Facility Modifier None Typical Low $66.07 Median $630.96 Typical High $2,818.38 | Facility | None | $66.07 | $630.96 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $34.67 Median $213.80 Typical High $977.24 | Professional | None | $34.67 | $213.80 | $977.24 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $64.57 | Facility | None | $28.18 | $33.88 | $64.57 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $28.18 Median $158.49 Typical High $158.49 | Professional | None | $28.18 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $120.23 Typical High $331.13 | Professional | None | $46.77 | $120.23 | $331.13 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $36.31 Typical High $3,311.31 | Facility | None | $29.51 | $36.31 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $275.42 | Professional | None | $162.18 | $194.98 | $275.42 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $32.36 Median $154.88 Typical High $389.05 | Professional | None | $32.36 | $154.88 | $389.05 |
Health New England Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Health New England Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $60.26 | Professional | None | $25.70 | $25.70 | $60.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $66.07 Median $630.96 Typical High $2,818.38 | Facility | None | $66.07 | $630.96 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $34.67 Median $213.80 Typical High $977.24 | Professional | None | $34.67 | $213.80 | $977.24 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,698.24 Typical High $2,818.38 | Facility | None | $549.54 | $1,698.24 | $2,818.38 |
United Setting Professional Modifier None Typical Low $37.15 Median $154.88 Typical High $501.19 | Professional | None | $37.15 | $154.88 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $51.29 Typical High $181.97 | Facility | None | $26.30 | $51.29 | $181.97 |
Well Sense Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $162.18 | Professional | None | $23.99 | $28.84 | $162.18 |
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 $22.91 Median $91.20 Typical High $128.82 | Professional | 54 · Surgery only | $22.91 | $91.20 | $128.82 |
Where Massachusetts sits
The same service costs 4.7 times more in Wisconsin 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
$158
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.