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 $1,000.00 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $524.81 Typical High $870.96 | Professional | None | $83.18 | $524.81 | $870.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $323.59 Median $851.14 Typical High $3,801.89 | Facility | None | $323.59 | $851.14 | $3,801.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $89.13 Median $831.76 Typical High $4,897.79 | Professional | None | $89.13 | $831.76 | $4,897.79 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $181.97 | Facility | None | $77.62 | $77.62 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $2,454.71 Typical High $3,090.30 | Facility | None | $66.07 | $2,454.71 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $338.84 Typical High $1,659.59 | Professional | None | $107.15 | $338.84 | $1,659.59 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $776.25 | Facility | None | $44.67 | $89.13 | $776.25 |
Fallon Health Setting Professional Modifier None Typical Low $446.68 Median $758.58 Typical High $1,096.48 | Professional | None | $446.68 | $758.58 | $1,096.48 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $89.13 Median $676.08 Typical High $1,862.09 | Professional | None | $89.13 | $676.08 | $1,862.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $323.59 Median $851.14 Typical High $3,801.89 | Facility | None | $323.59 | $851.14 | $3,801.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $89.13 Median $831.76 Typical High $4,897.79 | Professional | None | $89.13 | $831.76 | $4,897.79 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $6,309.57 | Facility | None | $407.38 | $870.96 | $6,309.57 |
United Setting Professional Modifier None Typical Low $102.33 Median $457.09 Typical High $1,995.26 | Professional | None | $102.33 | $457.09 | $1,995.26 |
Well Sense Setting Facility Modifier None Typical Low $70.79 Median $524.81 Typical High $891.25 | Facility | None | $70.79 | $524.81 | $891.25 |
Well Sense Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $645.65 | Professional | None | $61.66 | $74.13 | $645.65 |
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 $63.10 Median $389.05 Typical High $645.65 | Professional | 54 · Surgery only | $63.10 | $389.05 | $645.65 |
Where Massachusetts sits
The same service costs 7.8 times more in Alaska 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· 32nd of 51
$617
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.