How much rates vary
Facilitymedian $98 · 10th to 90th $38 to $1,862Professionalmedian $123 · 10th to 90th $66 to $562
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 $213.80 Median $2,137.96 Typical High $3,630.78 | Facility | None | $213.80 | $2,137.96 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $154.88 | Professional | None | $66.07 | $87.10 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $52.48 Median $354.81 Typical High $1,819.70 | Facility | None | $52.48 | $354.81 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $1,949.84 | Professional | None | $67.61 | $151.36 | $1,949.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $141.25 | Facility | None | $61.66 | $74.13 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $489.78 | Facility | None | $70.79 | $100.00 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $257.04 | Professional | None | $85.11 | $123.03 | $257.04 |
Fallon Health Setting Facility Modifier None Typical Low $35.48 Median $70.79 Typical High $218.78 | Facility | None | $35.48 | $70.79 | $218.78 |
Fallon Health Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $147.91 | Professional | None | $57.54 | $102.33 | $147.91 |
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 $67.61 Median $138.04 Typical High $281.84 | Professional | None | $67.61 | $138.04 | $281.84 |
Health New England Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $4,466.84 | Facility | None | $660.69 | $660.69 | $4,466.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $52.48 Median $354.81 Typical High $1,819.70 | Facility | None | $52.48 | $354.81 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $1,949.84 | Professional | None | $67.61 | $151.36 | $1,949.84 |
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 $75.86 Median $120.23 Typical High $309.03 | Professional | None | $75.86 | $120.23 | $309.03 |
Well Sense Setting Facility Modifier None Typical Low $33.11 Median $69.18 Typical High $109.65 | Facility | None | $33.11 | $69.18 | $109.65 |
Well Sense Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $81.28 | Professional | None | $50.12 | $60.26 | $81.28 |
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 $32.36 Median $43.65 Typical High $102.33 | Professional | 52 · Reduced service | $32.36 | $43.65 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $17.38 Typical High $40.74 | Professional | 53 · Discontinued | $13.18 | $17.38 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $64.57 Typical High $151.36 | Professional | 54 · Surgery only | $48.98 | $64.57 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $12.88 Typical High $30.20 | Professional | 55 · Aftercare only | $9.77 | $12.88 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $8.71 Typical High $20.42 | Professional | 56 · Pre-op care only | $6.61 | $8.71 | $20.42 |
Where Massachusetts sits
The same service costs 3.5 times more in Wisconsin than in Florida. 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
$123
WI $269FL $75.86
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.