How much rates vary
Facilitymedian $47 · 10th to 90th $19 to $2,239Professionalmedian $54 · 10th to 90th $30 to $170
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 $112.20 Median $2,187.76 Typical High $3,630.78 | Facility | None | $112.20 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $85.11 | Professional | None | $29.51 | $38.90 | $85.11 |
AllWays Health Partners Setting Facility Modifier None Typical Low $20.42 Median $501.19 Typical High $2,344.23 | Facility | None | $20.42 | $501.19 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $512.86 | Professional | None | $31.62 | $67.61 | $512.86 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $63.10 | Facility | None | $27.54 | $27.54 | $63.10 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $27.54 Median $58.88 Typical High $120.23 | Professional | None | $27.54 | $58.88 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $831.76 | Facility | None | $100.00 | $446.68 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $104.71 | Professional | None | $32.36 | $43.65 | $104.71 |
Fallon Health Setting Facility Modifier None Typical Low $15.85 Median $31.62 Typical High $218.78 | Facility | None | $15.85 | $31.62 | $218.78 |
Fallon Health Setting Professional Modifier None Typical Low $24.55 Median $43.65 Typical High $63.10 | Professional | None | $24.55 | $43.65 | $63.10 |
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 $31.62 Median $61.66 Typical High $112.20 | Professional | None | $31.62 | $61.66 | $112.20 |
Health New England Setting Facility Modifier None Typical Low $79.43 Median $363.08 Typical High $575.44 | Facility | None | $79.43 | $363.08 | $575.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $20.42 Median $501.19 Typical High $2,344.23 | Facility | None | $20.42 | $501.19 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $512.86 | Professional | None | $31.62 | $67.61 | $512.86 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $125.89 | Professional | None | $38.02 | $53.70 | $125.89 |
Well Sense Setting Facility Modifier None Typical Low $21.88 Median $33.88 Typical High $50.12 | Facility | None | $21.88 | $33.88 | $50.12 |
Well Sense Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $33.88 | Professional | None | $21.38 | $25.70 | $33.88 |
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 $14.79 Median $19.50 Typical High $41.69 | Professional | 52 · Reduced service | $14.79 | $19.50 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.76 Typical High $16.98 | Professional | 53 · Discontinued | $5.89 | $7.76 | $16.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $28.84 Typical High $63.10 | Professional | 54 · Surgery only | $21.88 | $28.84 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.75 Typical High $12.59 | Professional | 55 · Aftercare only | $4.47 | $5.75 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.89 Typical High $8.51 | Professional | 56 · Pre-op care only | $2.95 | $3.89 | $8.51 |
Where Massachusetts sits
The same service costs 3.3 times more in Alaska 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
$53.70
AK $117KY $35.48
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.