How much rates vary
Facilitymedian $2,344 · 10th to 90th $229 to $7,244Professionalmedian $3,090 · 10th to 90th $257 to $8,913
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 $1,548.82 Median $2,691.53 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,691.53 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $2,454.71 Typical High $3,715.35 | Professional | None | $208.93 | $2,454.71 | $3,715.35 |
AllWays Health Partners Setting Facility Modifier None Typical Low $870.96 Median $3,630.78 Typical High $11,748.98 | Facility | None | $870.96 | $3,630.78 | $11,748.98 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $4,168.69 Typical High $19,952.62 | Professional | None | $302.00 | $4,168.69 | $19,952.62 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $524.81 | Facility | None | $223.87 | $223.87 | $524.81 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $5,623.41 | Professional | None | $389.05 | $389.05 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $6,760.83 Typical High $8,317.64 | Facility | None | $676.08 | $6,760.83 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $1,096.48 Typical High $7,762.47 | Professional | None | $302.00 | $1,096.48 | $7,762.47 |
Fallon Health Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $3,311.31 | Facility | None | $229.09 | $288.40 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $5,011.87 | Professional | None | $3,311.31 | $4,073.80 | $5,011.87 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $10,232.93 | Facility | None | $794.33 | $3,467.37 | $10,232.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $257.04 Median $2,754.23 Typical High $8,128.31 | Professional | None | $257.04 | $2,754.23 | $8,128.31 |
Health New England Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $3,630.78 | Facility | None | $602.56 | $602.56 | $3,630.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $870.96 Median $3,630.78 Typical High $11,748.98 | Facility | None | $870.96 | $3,630.78 | $11,748.98 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $4,168.69 Typical High $19,952.62 | Professional | None | $302.00 | $4,168.69 | $19,952.62 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $3,467.37 Typical High $13,489.63 | Facility | None | $1,071.52 | $3,467.37 | $13,489.63 |
United Setting Professional Modifier None Typical Low $302.00 Median $2,511.89 Typical High $8,709.64 | Professional | None | $302.00 | $2,511.89 | $8,709.64 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $2,511.89 Typical High $3,981.07 | Facility | None | $213.80 | $2,511.89 | $3,981.07 |
Well Sense Setting Professional Modifier None Typical Low $173.78 Median $208.93 Typical High $3,090.30 | Professional | None | $173.78 | $208.93 | $3,090.30 |
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 $1,230.27 Typical High $1,513.56 | Professional | 52 · Reduced service | $104.71 | $1,230.27 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $489.78 Typical High $602.56 | Professional | 53 · Discontinued | $41.69 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $1,819.70 Typical High $2,290.87 | Professional | 54 · Surgery only | $158.49 | $1,819.70 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $363.08 Typical High $457.09 | Professional | 55 · Aftercare only | $31.62 | $363.08 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $245.47 Typical High $302.00 | Professional | 56 · Pre-op care only | $20.89 | $245.47 | $302.00 |
Where Massachusetts sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 17th of 51
$3,020
AK $5,248NE $468
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.