How much rates vary
Facilitymedian $575 · 10th to 90th $269 to $3,388Professionalmedian $661 · 10th to 90th $347 to $3,090
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 $1,348.96 Median $2,818.38 Typical High $5,128.61 | Facility | None | $1,348.96 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $933.25 | Professional | None | $380.19 | $380.19 | $933.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $338.84 Median $776.25 Typical High $3,548.13 | Facility | None | $338.84 | $776.25 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $512.86 Median $1,230.27 Typical High $3,090.30 | Professional | None | $512.86 | $1,230.27 | $3,090.30 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $1,548.82 | Professional | None | $457.09 | $912.01 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,380.38 Typical High $1,380.38 | Facility | None | $676.08 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,258.93 | Professional | None | $524.81 | $524.81 | $1,258.93 |
Fallon Health Setting Facility Modifier None Typical Low $257.04 Median $501.19 Typical High $870.96 | Facility | None | $257.04 | $501.19 | $870.96 |
Fallon Health Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $660.69 | Professional | None | $257.04 | $457.09 | $660.69 |
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 $512.86 Median $933.25 Typical High $1,380.38 | Professional | None | $512.86 | $933.25 | $1,380.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $338.84 Median $776.25 Typical High $3,548.13 | Facility | None | $338.84 | $776.25 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $512.86 Median $1,230.27 Typical High $3,090.30 | Professional | None | $512.86 | $1,230.27 | $3,090.30 |
United Setting Facility Modifier None Typical Low $295.12 Median $1,023.29 Typical High $4,073.80 | Facility | None | $295.12 | $1,023.29 | $4,073.80 |
United Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,621.81 | Professional | None | $537.03 | $707.95 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $707.95 | Facility | None | $346.74 | $478.63 | $707.95 |
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 $190.55 Median $190.55 Typical High $676.08 | Professional | 52 · Reduced service | $190.55 | $190.55 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $275.42 | Professional | 53 · Discontinued | $77.62 | $77.62 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $1,023.29 | Professional | 54 · Surgery only | $288.40 | $288.40 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $204.17 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $134.90 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $134.90 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 23rd of 51
$661
AK $1,514UT $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.