How much rates vary
Facilitymedian $708 · 10th to 90th $229 to $3,631Professionalmedian $234 · 10th to 90th $148 to $2,042
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 $1,318.26 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,318.26 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | None | $147.91 | $147.91 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $457.09 Typical High $2,089.30 | Facility | None | $239.88 | $457.09 | $2,089.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $141.25 Median $363.08 Typical High $2,041.74 | Professional | None | $141.25 | $363.08 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $467.74 | Professional | None | $151.36 | $263.03 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $676.08 Typical High $977.24 | Facility | None | $446.68 | $676.08 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $173.78 Typical High $457.09 | Professional | None | $169.82 | $173.78 | $457.09 |
Fallon Health Setting Facility Modifier None Typical Low $69.18 Median $213.80 Typical High $5,888.44 | Facility | None | $69.18 | $213.80 | $5,888.44 |
Fallon Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | None | $181.97 | $181.97 | $213.80 |
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 $162.18 Median $295.12 Typical High $549.54 | Professional | None | $162.18 | $295.12 | $549.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $457.09 Typical High $2,089.30 | Facility | None | $239.88 | $457.09 | $2,089.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $141.25 Median $363.08 Typical High $2,041.74 | Professional | None | $141.25 | $363.08 | $2,041.74 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $4,168.69 | Facility | None | $407.38 | $870.96 | $4,168.69 |
United Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $562.34 | Professional | None | $141.25 | $208.93 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $275.42 Median $3,090.30 Typical High $4,365.16 | Facility | None | $275.42 | $3,090.30 | $4,365.16 |
Well Sense Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | None | $346.74 | $346.74 | $416.87 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 54 · Surgery only | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $14.79 |
Where Massachusetts sits
The same service costs 4.3 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· 13th of 51
$316
AK $603NY $141
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.