How much rates vary
Facilitymedian $302 · 10th to 90th $123 to $2,512Professionalmedian $263 · 10th to 90th $141 to $631
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 $138.04 Median $186.21 Typical High $199.53 | Professional | None | $138.04 | $186.21 | $199.53 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $489.78 Typical High $1,949.84 | Facility | None | $275.42 | $489.78 | $1,949.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $1,380.38 | Professional | None | $138.04 | $295.12 | $1,380.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $295.12 | Facility | None | $128.82 | $128.82 | $295.12 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $128.82 Median $295.12 Typical High $501.19 | Professional | None | $128.82 | $295.12 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $741.31 | Facility | None | $107.15 | $194.98 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $436.52 | Professional | None | $181.97 | $257.04 | $436.52 |
Fallon Health Setting Facility Modifier None Typical Low $117.49 Median $162.18 Typical High $3,311.31 | Facility | None | $117.49 | $162.18 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $323.59 | Professional | None | $239.88 | $281.84 | $323.59 |
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 $154.88 Median $295.12 Typical High $575.44 | Professional | None | $154.88 | $295.12 | $575.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $489.78 Typical High $1,949.84 | Facility | None | $275.42 | $489.78 | $1,949.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $138.04 Median $295.12 Typical High $1,380.38 | Professional | None | $138.04 | $295.12 | $1,380.38 |
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 $165.96 Median $257.04 Typical High $630.96 | Professional | None | $165.96 | $257.04 | $630.96 |
Well Sense Setting Facility Modifier None Typical Low $74.13 Median $144.54 Typical High $229.09 | Facility | None | $74.13 | $144.54 | $229.09 |
Well Sense Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $154.88 | Professional | None | $100.00 | $128.82 | $154.88 |
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 $69.18 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 54 · Surgery only | $104.71 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $20.89 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $18.62 Typical High $18.62 | Professional | 56 · Pre-op care only | $13.80 | $18.62 | $18.62 |
Where Massachusetts sits
The same service costs 3.6 times more in Alaska 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
$263
AK $537KY $148
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.