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 $263.03 Median $2,818.38 Typical High $5,128.61 | Facility | None | $263.03 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $263.03 | Professional | None | $234.42 | $251.19 | $263.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $120.23 Median $501.19 Typical High $2,344.23 | Facility | None | $120.23 | $501.19 | $2,344.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $120.23 Median $363.08 Typical High $933.25 | Professional | None | $120.23 | $363.08 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $2,691.53 | Facility | None | $676.08 | $758.58 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $436.52 | Professional | None | $190.55 | $223.87 | $436.52 |
Fallon Health Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $3,311.31 | Facility | None | $138.04 | $204.17 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $281.84 | Professional | None | $165.96 | $204.17 | $281.84 |
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 $128.82 Median $295.12 Typical High $407.38 | Professional | None | $128.82 | $295.12 | $407.38 |
Mass General Brigham Setting Facility Modifier None Typical Low $120.23 Median $501.19 Typical High $2,344.23 | Facility | None | $120.23 | $501.19 | $2,344.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $120.23 Median $363.08 Typical High $933.25 | Professional | None | $120.23 | $363.08 | $933.25 |
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 $72.44 Median $186.21 Typical High $501.19 | Professional | None | $72.44 | $186.21 | $501.19 |
Well Sense Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $218.78 | Facility | None | $112.20 | $158.49 | $218.78 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,019.95 | Professional | None | $2,511.89 | $2,511.89 | $3,019.95 |
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 $177.83 Median $186.21 Typical High $194.98 | Professional | 54 · Surgery only | $177.83 | $186.21 | $194.98 |
Where Massachusetts sits
The same service costs 4.8 times more in Indiana 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· 10th of 51
$263
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.