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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $269.15 | Professional | None | $144.54 | $194.98 | $269.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $346.74 Typical High $1,819.70 | Facility | None | $117.49 | $346.74 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $1,698.24 | Professional | None | $154.88 | $338.84 | $1,698.24 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $331.13 | Facility | None | $141.25 | $141.25 | $331.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $478.63 | Professional | None | $141.25 | $263.03 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $316.23 Typical High $758.58 | Facility | None | $223.87 | $316.23 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $275.42 Typical High $616.60 | Professional | None | $177.83 | $275.42 | $616.60 |
Fallon Health Setting Facility Modifier None Typical Low $79.43 Median $154.88 Typical High $316.23 | Facility | None | $79.43 | $154.88 | $316.23 |
Fallon Health Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $371.54 | Professional | None | $151.36 | $257.04 | $371.54 |
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 $154.88 Median $331.13 Typical High $660.69 | Professional | None | $154.88 | $331.13 | $660.69 |
Health New England Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $741.31 | Facility | None | $575.44 | $707.95 | $741.31 |
Health New England Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | None | $234.42 | $234.42 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $346.74 Typical High $1,819.70 | Facility | None | $117.49 | $346.74 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $154.88 Median $338.84 Typical High $1,698.24 | Professional | None | $154.88 | $338.84 | $1,698.24 |
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 $165.96 Median $295.12 Typical High $691.83 | Professional | None | $165.96 | $295.12 | $691.83 |
Well Sense Setting Facility Modifier None Typical Low $117.49 Median $177.83 Typical High $263.03 | Facility | None | $117.49 | $177.83 | $263.03 |
Well Sense Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $147.91 | Professional | None | $81.28 | $97.72 | $147.91 |
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 $112.20 Median $123.03 Typical High $154.88 | Professional | 54 · Surgery only | $112.20 | $123.03 | $154.88 |
Where Massachusetts sits
The same service costs 4.2 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
$275
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.