How much rates vary
Facilitymedian $562 · 10th to 90th $263 to $2,884Professionalmedian $724 · 10th to 90th $372 to $1,950
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 $281.84 Median $371.54 Typical High $1,258.93 | Facility | None | $281.84 | $371.54 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $933.25 | Professional | None | $281.84 | $371.54 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $309.03 Median $776.25 Typical High $3,548.13 | Facility | None | $309.03 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $446.68 Median $1,023.29 Typical High $4,168.69 | Professional | None | $446.68 | $1,023.29 | $4,168.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $954.99 | Facility | None | $416.87 | $416.87 | $954.99 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $416.87 Median $724.44 Typical High $1,412.54 | Professional | None | $416.87 | $724.44 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $831.76 Typical High $2,691.53 | Facility | None | $676.08 | $831.76 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $1,348.96 | Professional | None | $478.63 | $645.65 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $234.42 Median $467.74 Typical High $812.83 | Facility | None | $234.42 | $467.74 | $812.83 |
Fallon Health Setting Professional Modifier None Typical Low $354.81 Median $630.96 Typical High $912.01 | Professional | None | $354.81 | $630.96 | $912.01 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $295.12 Median $954.99 Typical High $4,073.80 | Facility | None | $295.12 | $954.99 | $4,073.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $478.63 Median $933.25 Typical High $1,621.81 | Professional | None | $478.63 | $933.25 | $1,621.81 |
Health New England Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,023.29 | Professional | None | $891.25 | $891.25 | $1,023.29 |
Mass General Brigham Setting Facility Modifier None Typical Low $309.03 Median $776.25 Typical High $3,548.13 | Facility | None | $309.03 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $446.68 Median $1,023.29 Typical High $4,168.69 | Professional | None | $446.68 | $1,023.29 | $4,168.69 |
United Setting Facility Modifier None Typical Low $316.23 Median $812.83 Typical High $3,715.35 | Facility | None | $316.23 | $812.83 | $3,715.35 |
United Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $1,584.89 | Professional | None | $398.11 | $645.65 | $1,584.89 |
Well Sense Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $1,047.13 | Facility | None | $501.19 | $724.44 | $1,047.13 |
Well Sense Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $562.34 | Professional | None | $363.08 | $436.52 | $562.34 |
3 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 $141.25 Median $186.21 Typical High $478.63 | Professional | 52 · Reduced service | $141.25 | $186.21 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $56.23 Typical High $141.25 | Professional | 55 · Aftercare only | $42.66 | $56.23 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $37.15 Typical High $95.50 | Professional | 56 · Pre-op care only | $28.18 | $37.15 | $95.50 |
Where Massachusetts sits
The same service costs 3.1 times more in Alaska than in Indiana. 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
$692
AK $1,380IN $447
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.