How much rates vary
Facilitymedian $282 · 10th to 90th $120 to $1,862Professionalmedian $363 · 10th to 90th $214 to $1,202
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 $645.65 Median $2,187.76 Typical High $3,630.78 | Facility | None | $645.65 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $645.65 | Professional | None | $213.80 | $251.19 | $645.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $117.49 Median $436.52 Typical High $1,862.09 | Facility | None | $117.49 | $436.52 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $229.09 Median $489.78 Typical High $3,090.30 | Professional | None | $229.09 | $489.78 | $3,090.30 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $467.74 | Facility | None | $204.17 | $204.17 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $489.78 | Facility | None | $251.19 | $363.08 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $707.95 | Professional | None | $239.88 | $302.00 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $117.49 Median $234.42 Typical High $1,412.54 | Facility | None | $117.49 | $234.42 | $1,412.54 |
Fallon Health Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $416.87 | Professional | None | $158.49 | $288.40 | $416.87 |
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 $234.42 Median $446.68 Typical High $758.58 | Professional | None | $234.42 | $446.68 | $758.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $117.49 Median $436.52 Typical High $1,862.09 | Facility | None | $117.49 | $436.52 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $229.09 Median $489.78 Typical High $3,090.30 | Professional | None | $229.09 | $489.78 | $3,090.30 |
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 $269.15 Median $363.08 Typical High $933.25 | Professional | None | $269.15 | $363.08 | $933.25 |
Well Sense Setting Facility Modifier None Typical Low $117.49 Median $218.78 Typical High $363.08 | Facility | None | $117.49 | $218.78 | $363.08 |
Well Sense Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | None | $154.88 | $181.97 | $218.78 |
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 $107.15 Median $125.89 Typical High $316.23 | Professional | 52 · Reduced service | $107.15 | $125.89 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $128.82 | Professional | 53 · Discontinued | $42.66 | $50.12 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $190.55 Typical High $478.63 | Professional | 54 · Surgery only | $162.18 | $190.55 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $38.02 Typical High $95.50 | Professional | 55 · Aftercare only | $32.36 | $38.02 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $25.12 Typical High $64.57 | Professional | 56 · Pre-op care only | $21.38 | $25.12 | $64.57 |
Where Massachusetts sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 16th of 51
$347
AK $851MD $229
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.