How much rates vary
Facilitymedian $282 · 10th to 90th $112 to $2,512Professionalmedian $257 · 10th to 90th $126 to $562
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 $288.40 Median $2,187.76 Typical High $3,630.78 | Facility | None | $288.40 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $190.55 | Professional | None | $120.23 | $169.82 | $190.55 |
AllWays Health Partners Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $1,949.84 | Facility | None | $251.19 | $489.78 | $1,949.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $1,412.54 | Professional | None | $125.89 | $269.15 | $1,412.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $269.15 | Facility | None | $114.82 | $114.82 | $269.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $114.82 Median $223.87 Typical High $512.86 | Professional | None | $114.82 | $223.87 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $741.31 | Facility | None | $107.15 | $223.87 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $436.52 | Professional | None | $162.18 | $257.04 | $436.52 |
Fallon Health Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $3,311.31 | Facility | None | $104.71 | $144.54 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $245.47 Median $281.84 Typical High $331.13 | Professional | None | $245.47 | $281.84 | $331.13 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $4,168.69 | Facility | None | $363.08 | $794.33 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $549.54 | Professional | None | $141.25 | $269.15 | $549.54 |
Health New England Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Health New England Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $398.11 | Professional | None | $173.78 | $309.03 | $398.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $1,949.84 | Facility | None | $251.19 | $489.78 | $1,949.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $1,412.54 | Professional | None | $125.89 | $269.15 | $1,412.54 |
United Setting Facility Modifier None Typical Low $407.38 Median $870.96 Typical High $4,168.69 | Facility | None | $407.38 | $870.96 | $4,168.69 |
United Setting Professional Modifier None Typical Low $147.91 Median $239.88 Typical High $549.54 | Professional | None | $147.91 | $239.88 | $549.54 |
Well Sense Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $204.17 | Facility | None | $83.18 | $134.90 | $204.17 |
Well Sense Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $144.54 | Professional | None | $87.10 | $117.49 | $144.54 |
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 $60.26 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $60.26 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $23.99 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $91.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $18.20 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $12.02 | $16.98 | $16.98 |
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· 9th of 51
$257
AK $468VA $141
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.