How much rates vary
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 $1,000.00 Median $2,238.72 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,238.72 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $97.72 Typical High $144.54 | Professional | None | $30.90 | $97.72 | $144.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $1,862.09 | Facility | None | $89.13 | $309.03 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $33.11 Median $144.54 Typical High $870.96 | Professional | None | $33.11 | $144.54 | $870.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $66.07 | Facility | None | $28.18 | $28.18 | $66.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $33.88 Median $120.23 Typical High $275.42 | Professional | None | $33.88 | $120.23 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $758.58 | Facility | None | $128.82 | $181.97 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $138.04 Typical High $288.40 | Professional | None | $40.74 | $138.04 | $288.40 |
Fallon Health Setting Facility Modifier None Typical Low $30.90 Median $38.02 Typical High $3,311.31 | Facility | None | $30.90 | $38.02 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $208.93 | Professional | None | $154.88 | $181.97 | $208.93 |
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 $38.02 Median $141.25 Typical High $338.84 | Professional | None | $38.02 | $141.25 | $338.84 |
Health New England Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $89.13 Median $309.03 Typical High $1,862.09 | Facility | None | $89.13 | $309.03 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $33.11 Median $144.54 Typical High $870.96 | Professional | None | $33.11 | $144.54 | $870.96 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $39.81 Median $144.54 Typical High $346.74 | Professional | None | $39.81 | $144.54 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $26.30 Median $89.13 Typical High $147.91 | Facility | None | $26.30 | $89.13 | $147.91 |
Well Sense Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $131.83 | Professional | None | $23.44 | $31.62 | $131.83 |
1 more rate 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 54 · Surgery only Typical Low $23.44 Median $72.44 Typical High $100.00 | Professional | 54 · Surgery only | $23.44 | $72.44 | $100.00 |
Where Massachusetts sits
The same service costs 5.1 times more in Iowa 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.
Massachusetts· 11th of 51
$138
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.