How much rates vary
Facilitymedian $269 · 10th to 90th $158 to $2,818Professionalmedian $457 · 10th to 90th $178 to $2,754
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 $537.03 Median $2,187.76 Typical High $3,630.78 | Facility | None | $537.03 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $416.87 | Professional | None | $177.83 | $346.74 | $416.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $371.54 Median $1,023.29 Typical High $3,548.13 | Facility | None | $371.54 | $1,023.29 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $194.98 Median $562.34 Typical High $2,754.23 | Professional | None | $194.98 | $562.34 | $2,754.23 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $363.08 | Facility | None | $158.49 | $190.55 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $407.38 Typical High $812.83 | Professional | None | $213.80 | $407.38 | $812.83 |
Fallon Health Setting Facility Modifier None Typical Low $158.49 Median $204.17 Typical High $3,311.31 | Facility | None | $158.49 | $204.17 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $776.25 | Professional | None | $457.09 | $562.34 | $776.25 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $173.78 Median $446.68 Typical High $1,047.13 | Professional | None | $173.78 | $446.68 | $1,047.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $371.54 Median $1,023.29 Typical High $3,548.13 | Facility | None | $371.54 | $1,023.29 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $194.98 Median $562.34 Typical High $2,754.23 | Professional | None | $194.98 | $562.34 | $2,754.23 |
United Setting Facility Modifier None Typical Low $741.31 Median $2,041.74 Typical High $3,548.13 | Facility | None | $741.31 | $2,041.74 | $3,548.13 |
United Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $1,047.13 | Professional | None | $199.53 | $446.68 | $1,047.13 |
Well Sense Setting Facility Modifier None Typical Low $134.90 Median $269.15 Typical High $467.74 | Facility | None | $134.90 | $269.15 | $467.74 |
Well Sense Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $295.12 | Professional | None | $123.03 | $147.91 | $295.12 |
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 $89.13 Median $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $89.13 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $69.18 Typical High $81.28 | Professional | 53 · Discontinued | $36.31 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $257.04 Typical High $302.00 | Professional | 54 · Surgery only | $134.90 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $51.29 Typical High $60.26 | Professional | 55 · Aftercare only | $26.92 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $34.67 Typical High $39.81 | Professional | 56 · Pre-op care only | $17.78 | $34.67 | $39.81 |
Where Massachusetts sits
The same service costs 3.3 times more in Alaska than in Virginia. 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· 11th of 51
$447
AK $676VA $204
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.