How much rates vary
Facilitymedian $912 · 10th to 90th $282 to $3,981Professionalmedian $2,188 · 10th to 90th $427 to $8,913
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 $691.83 Median $2,691.53 Typical High $3,715.35 | Facility | None | $691.83 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,513.56 Typical High $2,344.23 | Professional | None | $416.87 | $1,513.56 | $2,344.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $676.08 Median $1,698.24 Typical High $4,570.88 | Facility | None | $676.08 | $1,698.24 | $4,570.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $426.58 Median $2,137.96 Typical High $25,118.86 | Professional | None | $426.58 | $2,137.96 | $25,118.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $933.25 | Facility | None | $398.11 | $398.11 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,691.53 Typical High $3,467.37 | Facility | None | $676.08 | $2,691.53 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,659.59 Typical High $4,466.84 | Professional | None | $524.81 | $1,659.59 | $4,466.84 |
Fallon Health Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $2,398.83 | Facility | None | $229.09 | $457.09 | $2,398.83 |
Fallon Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,981.07 Typical High $5,754.40 | Professional | None | $2,290.87 | $3,981.07 | $5,754.40 |
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 $426.58 Median $2,137.96 Typical High $8,912.51 | Professional | None | $426.58 | $2,137.96 | $8,912.51 |
Health New England Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Health New England Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Mass General Brigham Setting Facility Modifier None Typical Low $676.08 Median $1,698.24 Typical High $4,570.88 | Facility | None | $676.08 | $1,698.24 | $4,570.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $426.58 Median $2,137.96 Typical High $25,118.86 | Professional | None | $426.58 | $2,137.96 | $25,118.86 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,332.54 | Facility | None | $1,047.13 | $2,344.23 | $9,332.54 |
United Setting Professional Modifier None Typical Low $489.78 Median $1,905.46 Typical High $5,128.61 | Professional | None | $489.78 | $1,905.46 | $5,128.61 |
Well Sense Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $1,995.26 | Facility | None | $338.84 | $676.08 | $1,995.26 |
Well Sense Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $1,778.28 | Professional | None | $295.12 | $354.81 | $1,778.28 |
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 $208.93 Median $758.58 Typical High $1,047.13 | Professional | 52 · Reduced service | $208.93 | $758.58 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $302.00 Typical High $426.58 | Professional | 53 · Discontinued | $83.18 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $1,148.15 Typical High $1,584.89 | Professional | 54 · Surgery only | $309.03 | $1,148.15 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $229.09 Typical High $316.23 | Professional | 55 · Aftercare only | $61.66 | $229.09 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $151.36 Typical High $208.93 | Professional | 56 · Pre-op care only | $41.69 | $151.36 | $208.93 |
Where Massachusetts sits
The same service costs 3.6 times more in Iowa 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· 14th of 51
$2,089
IA $2,692NE $741
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.