How much rates vary
Facilitymedian $457 · 10th to 90th $195 to $3,548Professionalmedian $537 · 10th to 90th $295 to $4,898
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 $1,202.26 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,202.26 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $446.68 | Professional | None | $295.12 | $363.08 | $446.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $436.52 Median $1,348.96 Typical High $4,897.79 | Facility | None | $436.52 | $1,348.96 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $691.83 Typical High $4,897.79 | Professional | None | $302.00 | $691.83 | $4,897.79 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $602.56 | Facility | None | $263.03 | $263.03 | $602.56 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $263.03 Median $457.09 Typical High $851.14 | Professional | None | $263.03 | $457.09 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,951.21 Typical High $4,365.16 | Facility | None | $446.68 | $2,951.21 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $1,148.15 | Professional | None | $331.13 | $478.63 | $1,148.15 |
Fallon Health Setting Facility Modifier None Typical Low $151.36 Median $302.00 Typical High $1,905.46 | Facility | None | $151.36 | $302.00 | $1,905.46 |
Fallon Health Setting Professional Modifier None Typical Low $263.03 Median $446.68 Typical High $660.69 | Professional | None | $263.03 | $446.68 | $660.69 |
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 $302.00 Median $616.60 Typical High $1,202.26 | Professional | None | $302.00 | $616.60 | $1,202.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $436.52 Median $1,348.96 Typical High $4,897.79 | Facility | None | $436.52 | $1,348.96 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $691.83 Typical High $4,897.79 | Professional | None | $302.00 | $691.83 | $4,897.79 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $8,128.31 | Facility | None | $407.38 | $870.96 | $8,128.31 |
United Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $1,318.26 | Professional | None | $363.08 | $562.34 | $1,318.26 |
Well Sense Setting Facility Modifier None Typical Low $251.19 Median $380.19 Typical High $1,548.82 | Facility | None | $251.19 | $380.19 | $1,548.82 |
Well Sense Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $371.54 | Professional | None | $208.93 | $251.19 | $371.54 |
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 $147.91 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $147.91 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $58.88 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $295.12 Typical High $338.84 | Professional | 54 · Surgery only | $218.78 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $58.88 Typical High $67.61 | Professional | 55 · Aftercare only | $43.65 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $39.81 Typical High $44.67 | Professional | 56 · Pre-op care only | $29.51 | $39.81 | $44.67 |
Where Massachusetts sits
The same service costs 3.9 times more in Alaska than in New York. 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· 18th of 51
$525
AK $1,380NY $355
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.