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 $194.98 Median $2,187.76 Typical High $3,630.78 | Facility | None | $194.98 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $117.49 | Professional | None | $39.81 | $66.07 | $117.49 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $524.81 Typical High $1,862.09 | Facility | None | $50.12 | $524.81 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $42.66 Median $107.15 Typical High $645.65 | Professional | None | $42.66 | $107.15 | $645.65 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $37.15 Median $44.67 Typical High $83.18 | Facility | None | $37.15 | $44.67 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $676.08 | Facility | None | $53.70 | $87.10 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $102.33 Typical High $181.97 | Professional | None | $51.29 | $102.33 | $181.97 |
Fallon Health Setting Facility Modifier None Typical Low $20.89 Median $42.66 Typical High $218.78 | Facility | None | $20.89 | $42.66 | $218.78 |
Fallon Health Setting Professional Modifier None Typical Low $47.86 Median $85.11 Typical High $123.03 | Professional | None | $47.86 | $85.11 | $123.03 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $40.74 Median $93.33 Typical High $213.80 | Professional | None | $40.74 | $93.33 | $213.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $524.81 Typical High $1,862.09 | Facility | None | $50.12 | $524.81 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $42.66 Median $107.15 Typical High $645.65 | Professional | None | $42.66 | $107.15 | $645.65 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $46.77 Median $95.50 Typical High $223.87 | Professional | None | $46.77 | $95.50 | $223.87 |
Well Sense Setting Facility Modifier None Typical Low $30.90 Median $47.86 Typical High $85.11 | Facility | None | $30.90 | $47.86 | $85.11 |
Well Sense Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $57.54 | Professional | None | $30.20 | $36.31 | $57.54 |
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 $30.20 Median $48.98 Typical High $89.13 | Professional | 54 · Surgery only | $30.20 | $48.98 | $89.13 |
Where Massachusetts sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 15th of 51
$89.13
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.