How much rates vary
Facilitymedian $363 · 10th to 90th $186 to $2,512Professionalmedian $427 · 10th to 90th $209 to $1,072
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 $562.34 Median $2,187.76 Typical High $3,630.78 | Facility | None | $562.34 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $501.19 | Professional | None | $208.93 | $288.40 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $275.42 Median $537.03 Typical High $1,949.84 | Facility | None | $275.42 | $537.03 | $1,949.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $239.88 Median $478.63 Typical High $2,137.96 | Professional | None | $239.88 | $478.63 | $2,137.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $426.58 | Facility | None | $186.21 | $186.21 | $426.58 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $575.44 | Professional | None | $186.21 | $331.13 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $354.81 Typical High $489.78 | Facility | None | $245.47 | $354.81 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $707.95 | Professional | None | $190.55 | $436.52 | $707.95 |
Fallon Health Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $3,311.31 | Facility | None | $190.55 | $245.47 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $575.44 | Professional | None | $354.81 | $426.58 | $575.44 |
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 $251.19 Median $446.68 Typical High $812.83 | Professional | None | $251.19 | $446.68 | $812.83 |
Health New England Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Mass General Brigham Setting Facility Modifier None Typical Low $275.42 Median $537.03 Typical High $1,949.84 | Facility | None | $275.42 | $537.03 | $1,949.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $239.88 Median $478.63 Typical High $2,137.96 | Professional | None | $239.88 | $478.63 | $2,137.96 |
United Setting Facility Modifier None Typical Low $407.38 Median $851.14 Typical High $4,168.69 | Facility | None | $407.38 | $851.14 | $4,168.69 |
United Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $812.83 | Professional | None | $251.19 | $389.05 | $812.83 |
Well Sense Setting Facility Modifier None Typical Low $128.82 Median $229.09 Typical High $354.81 | Facility | None | $128.82 | $229.09 | $354.81 |
Well Sense Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $245.47 | Professional | None | $151.36 | $204.17 | $245.47 |
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 $104.71 Median $144.54 Typical High $281.84 | Professional | 52 · Reduced service | $104.71 | $144.54 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $57.54 Typical High $114.82 | Professional | 53 · Discontinued | $42.66 | $57.54 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $218.78 Typical High $426.58 | Professional | 54 · Surgery only | $158.49 | $218.78 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $43.65 Typical High $85.11 | Professional | 55 · Aftercare only | $31.62 | $43.65 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $28.84 Typical High $56.23 | Professional | 56 · Pre-op care only | $20.89 | $28.84 | $56.23 |
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· 9th of 51
$417
AK $832FL $234
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.