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 $831.76 Median $2,238.72 Typical High $3,630.78 | Facility | None | $831.76 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $588.84 Typical High $977.24 | Professional | None | $181.97 | $588.84 | $977.24 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $1,445.44 Typical High $4,265.80 | Facility | None | $549.54 | $1,445.44 | $4,265.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $190.55 Median $1,071.52 Typical High $5,623.41 | Professional | None | $190.55 | $1,071.52 | $5,623.41 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $363.08 | Facility | None | $158.49 | $190.55 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,000.00 Typical High $1,288.25 | Facility | None | $478.63 | $1,000.00 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $676.08 Typical High $1,862.09 | Professional | None | $213.80 | $676.08 | $1,862.09 |
Fallon Health Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $1,412.54 | Facility | None | $91.20 | $181.97 | $1,412.54 |
Fallon Health Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,258.93 | Professional | None | $501.19 | $870.96 | $1,258.93 |
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 $181.97 Median $776.25 Typical High $2,187.76 | Professional | None | $181.97 | $776.25 | $2,187.76 |
Health New England Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $1,445.44 Typical High $4,265.80 | Facility | None | $549.54 | $1,445.44 | $4,265.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $190.55 Median $1,071.52 Typical High $5,623.41 | Professional | None | $190.55 | $1,071.52 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,413.10 | Facility | None | $1,047.13 | $2,344.23 | $7,413.10 |
United Setting Professional Modifier None Typical Low $208.93 Median $776.25 Typical High $2,290.87 | Professional | None | $208.93 | $776.25 | $2,290.87 |
Well Sense Setting Facility Modifier None Typical Low $141.25 Median $549.54 Typical High $933.25 | Facility | None | $141.25 | $549.54 | $933.25 |
Well Sense Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $776.25 | Professional | None | $138.04 | $165.96 | $776.25 |
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 $138.04 Median $446.68 Typical High $616.60 | Professional | 54 · Surgery only | $138.04 | $446.68 | $616.60 |
Where Massachusetts sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 17th of 51
$832
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.