How much rates vary
Facilitymedian $110 · 10th to 90th $44 to $1,862Professionalmedian $120 · 10th to 90th $46 to $468
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 $89.13 Median $2,691.53 Typical High $5,128.61 | Facility | None | $89.13 | $2,691.53 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $89.13 Typical High $138.04 | Professional | None | $40.74 | $89.13 | $138.04 |
AllWays Health Partners Setting Facility Modifier None Typical Low $57.54 Median $524.81 Typical High $1,862.09 | Facility | None | $57.54 | $524.81 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $53.70 Median $141.25 Typical High $691.83 | Professional | None | $53.70 | $141.25 | $691.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $97.72 | Facility | None | $41.69 | $41.69 | $97.72 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $41.69 Median $109.65 Typical High $194.98 | Professional | None | $41.69 | $109.65 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $120.23 Typical High $489.78 | Facility | None | $95.50 | $120.23 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $125.89 Typical High $245.47 | Professional | None | $57.54 | $125.89 | $245.47 |
Fallon Health Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $3,311.31 | Facility | None | $45.71 | $54.95 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $169.82 | Professional | None | $114.82 | $138.04 | $169.82 |
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 $50.12 Median $112.20 Typical High $275.42 | Professional | None | $50.12 | $112.20 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $57.54 Median $524.81 Typical High $1,862.09 | Facility | None | $57.54 | $524.81 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $53.70 Median $141.25 Typical High $691.83 | Professional | None | $53.70 | $141.25 | $691.83 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $56.23 Median $128.82 Typical High $288.40 | Professional | None | $56.23 | $128.82 | $288.40 |
Well Sense Setting Facility Modifier None Typical Low $41.69 Median $64.57 Typical High $112.20 | Facility | None | $41.69 | $64.57 | $112.20 |
Well Sense Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $93.33 | Professional | None | $35.48 | $42.66 | $93.33 |
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 $20.42 Median $44.67 Typical High $69.18 | Professional | 52 · Reduced service | $20.42 | $44.67 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $17.78 Typical High $27.54 | Professional | 53 · Discontinued | $8.13 | $17.78 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $66.07 Typical High $102.33 | Professional | 54 · Surgery only | $30.90 | $66.07 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $13.18 Typical High $20.42 | Professional | 55 · Aftercare only | $6.17 | $13.18 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $8.91 Typical High $13.80 | Professional | 56 · Pre-op care only | $4.07 | $8.91 | $13.80 |
Where Massachusetts sits
The same service costs 3.3 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· 12th of 51
$117
AK $204KY $61.66
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.