How much rates vary
Facilitymedian $145 · 10th to 90th $62 to $2,754Professionalmedian $234 · 10th to 90th $74 to $759
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 $1,513.56 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,513.56 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $165.96 | Professional | None | $74.13 | $109.65 | $165.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $45.71 Median $501.19 Typical High $2,818.38 | Facility | None | $45.71 | $501.19 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $74.13 Median $245.47 Typical High $1,819.70 | Professional | None | $74.13 | $245.47 | $1,819.70 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $144.54 | Facility | None | $61.66 | $61.66 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $1,000.00 | Facility | None | $676.08 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $234.42 Typical High $524.81 | Professional | None | $79.43 | $234.42 | $524.81 |
Fallon Health Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $3,311.31 | Facility | None | $63.10 | $79.43 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $436.52 | Professional | None | $323.59 | $380.19 | $436.52 |
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 $79.43 Median $234.42 Typical High $691.83 | Professional | None | $79.43 | $234.42 | $691.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $45.71 Median $501.19 Typical High $2,818.38 | Facility | None | $45.71 | $501.19 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $74.13 Median $245.47 Typical High $1,819.70 | Professional | None | $74.13 | $245.47 | $1,819.70 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $81.28 Median $223.87 Typical High $630.96 | Professional | None | $81.28 | $223.87 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $107.15 Typical High $275.42 | Facility | None | $54.95 | $107.15 | $275.42 |
Well Sense Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $131.83 | Professional | None | $50.12 | $67.61 | $131.83 |
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 $37.15 Median $54.95 Typical High $81.28 | Professional | 52 · Reduced service | $37.15 | $54.95 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $21.88 Typical High $33.11 | Professional | 53 · Discontinued | $14.79 | $21.88 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $81.28 Typical High $123.03 | Professional | 54 · Surgery only | $56.23 | $81.28 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $16.22 Typical High $24.55 | Professional | 55 · Aftercare only | $11.22 | $16.22 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $10.96 Typical High $16.60 | Professional | 56 · Pre-op care only | $7.41 | $10.96 | $16.60 |
Where Massachusetts sits
The same service costs 13.1 times more in Hawaii than in Kentucky. 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.
Physician feeFacility fee
HI $3,088KY $236
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.