How much rates vary
Facilitymedian $275 · 10th to 90th $107 to $2,512Professionalmedian $229 · 10th to 90th $120 to $537
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 $257.04 Median $2,187.76 Typical High $3,630.78 | Facility | None | $257.04 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $158.49 Typical High $177.83 | Professional | None | $120.23 | $158.49 | $177.83 |
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 $120.23 Median $263.03 Typical High $1,230.27 | Professional | None | $120.23 | $263.03 | $1,230.27 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $263.03 | Facility | None | $114.82 | $114.82 | $263.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $446.68 | Professional | None | $114.82 | $194.98 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $741.31 | Facility | None | $100.00 | $181.97 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $389.05 | Professional | None | $162.18 | $229.09 | $389.05 |
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 $218.78 Median $251.19 Typical High $288.40 | Professional | None | $218.78 | $251.19 | $288.40 |
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 $134.90 Median $263.03 Typical High $512.86 | Professional | None | $134.90 | $263.03 | $512.86 |
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 $120.23 Median $263.03 Typical High $1,230.27 | Professional | None | $120.23 | $263.03 | $1,230.27 |
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 $144.54 Median $223.87 Typical High $537.03 | Professional | None | $144.54 | $223.87 | $537.03 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $199.53 | Facility | None | $67.61 | $128.82 | $199.53 |
Well Sense Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $134.90 | Professional | None | $85.11 | $112.20 | $134.90 |
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 $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $60.26 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | 54 · Surgery only | $89.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $23.99 Typical High $23.99 | Professional | 55 · Aftercare only | $18.20 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $15.85 Typical High $15.85 | Professional | 56 · Pre-op care only | $12.02 | $15.85 | $15.85 |
Where Massachusetts sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$234
AK $468FL $132
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.