How much rates vary
Facilitymedian $832 · 10th to 90th $69 to $4,266Professionalmedian $148 · 10th to 90th $76 to $1,514
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 $83.18 Median $83.18 Typical High $295.12 | Facility | None | $83.18 | $83.18 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $229.09 | Professional | None | $83.18 | $83.18 | $229.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $562.34 Median $1,737.80 Typical High $4,897.79 | Facility | None | $562.34 | $1,737.80 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $109.65 Median $269.15 Typical High $1,513.56 | Professional | None | $109.65 | $269.15 | $1,513.56 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $338.84 | Professional | None | $102.33 | $204.17 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $2,187.76 Typical High $3,311.31 | Facility | None | $446.68 | $2,187.76 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $309.03 | Professional | None | $114.82 | $114.82 | $309.03 |
Fallon Health Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $602.56 | Facility | None | $58.88 | $112.20 | $602.56 |
Fallon Health Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $147.91 | Professional | None | $57.54 | $102.33 | $147.91 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $977.24 Median $2,290.87 Typical High $5,754.40 | Facility | None | $977.24 | $2,290.87 | $5,754.40 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $114.82 Median $208.93 Typical High $346.74 | Professional | None | $114.82 | $208.93 | $346.74 |
Health New England Setting Facility Modifier None Typical Low $1,348.96 Median $2,951.21 Typical High $4,168.69 | Facility | None | $1,348.96 | $2,951.21 | $4,168.69 |
Health New England Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | None | $181.97 | $181.97 | $204.17 |
Mass General Brigham Setting Facility Modifier None Typical Low $562.34 Median $1,737.80 Typical High $4,897.79 | Facility | None | $562.34 | $1,737.80 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $109.65 Median $269.15 Typical High $1,513.56 | Professional | None | $109.65 | $269.15 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $9,120.11 | Facility | None | $1,047.13 | $2,344.23 | $9,120.11 |
United Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $346.74 | Professional | None | $114.82 | $147.91 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $87.10 Median $147.91 Typical High $1,047.13 | Facility | None | $87.10 | $147.91 | $1,047.13 |
Well Sense Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
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 $41.69 Median $41.69 Typical High $147.91 | Professional | 52 · Reduced service | $41.69 | $41.69 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $58.88 | Professional | 53 · Discontinued | $16.60 | $16.60 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $43.65 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $29.51 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $29.51 |
BCBS Massachusetts Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $43.65 Typical High $85.11 | Professional | 53 · Discontinued | $25.70 | $43.65 | $85.11 |
Where Massachusetts sits
The same service costs 7.9 times more in Kansas 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· 29th of 51
$151
KS $832NY $105
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.