How much rates vary
Facilitymedian $83 · 10th to 90th $30 to $1,023Professionalmedian $100 · 10th to 90th $50 to $427
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 $48.98 Median $61.66 Typical High $204.17 | Facility | None | $48.98 | $61.66 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $123.03 | Professional | None | $48.98 | $61.66 | $123.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $50.12 Median $257.04 Typical High $1,862.09 | Facility | None | $50.12 | $257.04 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $549.54 | Professional | None | $54.95 | $123.03 | $549.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $104.71 | Facility | None | $44.67 | $44.67 | $104.71 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $58.88 Median $138.04 Typical High $251.19 | Professional | None | $58.88 | $138.04 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $100.00 | Facility | None | $50.12 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $194.98 | Professional | None | $53.70 | $91.20 | $194.98 |
Fallon Health Setting Facility Modifier None Typical Low $25.70 Median $51.29 Typical High $131.83 | Facility | None | $25.70 | $51.29 | $131.83 |
Fallon Health Setting Professional Modifier None Typical Low $46.77 Median $81.28 Typical High $117.49 | Professional | None | $46.77 | $81.28 | $117.49 |
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 $51.29 Median $109.65 Typical High $213.80 | Professional | None | $51.29 | $109.65 | $213.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $50.12 Median $257.04 Typical High $1,862.09 | Facility | None | $50.12 | $257.04 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $54.95 Median $123.03 Typical High $549.54 | Professional | None | $54.95 | $123.03 | $549.54 |
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 $61.66 Median $102.33 Typical High $229.09 | Professional | None | $61.66 | $102.33 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $30.20 Median $75.86 Typical High $128.82 | Facility | None | $30.20 | $75.86 | $128.82 |
Well Sense Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $117.49 | Professional | None | $53.70 | $63.10 | $117.49 |
4 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 $23.99 Median $30.90 Typical High $67.61 | Professional | 52 · Reduced service | $23.99 | $30.90 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.30 Typical High $27.54 | Professional | 53 · Discontinued | $9.77 | $12.30 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $9.33 Typical High $20.42 | Professional | 55 · Aftercare only | $7.24 | $9.33 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.17 Typical High $13.80 | Professional | 56 · Pre-op care only | $4.79 | $6.17 | $13.80 |
Where Massachusetts sits
The same service costs 3.1 times more in Wisconsin than in Florida. 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· 12th of 51
$97.72
WI $204FL $66.07
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.