How much rates vary
Facilitymedian $447 · 10th to 90th $295 to $1,000Professionalmedian $363 · 10th to 90th $316 to $447
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 $338.84 Median $338.84 Typical High $1,202.26 | Facility | None | $338.84 | $338.84 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $501.19 | Professional | None | $338.84 | $338.84 | $501.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $295.12 Median $851.14 Typical High $1,122.02 | Facility | None | $295.12 | $851.14 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $446.68 | Professional | None | $316.23 | $354.81 | $446.68 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $338.84 Median $389.05 Typical High $707.95 | Facility | None | $338.84 | $389.05 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,548.82 | Facility | None | $457.09 | $741.31 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | None | $354.81 | $354.81 | $363.08 |
Fallon Health Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $537.03 | Facility | None | $338.84 | $446.68 | $537.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $588.84 | Professional | None | $309.03 | $363.08 | $588.84 |
Health New England Setting Facility Modifier None Typical Low $323.59 Median $794.33 Typical High $1,778.28 | Facility | None | $323.59 | $794.33 | $1,778.28 |
Mass General Brigham Setting Facility Modifier None Typical Low $295.12 Median $851.14 Typical High $1,122.02 | Facility | None | $295.12 | $851.14 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $446.68 | Professional | None | $316.23 | $354.81 | $446.68 |
Tufts Setting Facility Modifier None Typical Low $109.65 Median $295.12 Typical High $446.68 | Facility | None | $109.65 | $295.12 | $446.68 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $316.23 Median $389.05 Typical High $446.68 | Professional | None | $316.23 | $389.05 | $446.68 |
Well Sense Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $794.33 | Facility | None | $346.74 | $478.63 | $794.33 |
Well Sense Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
4 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 $169.82 Median $169.82 Typical High $169.82 | Professional | 52 · Reduced service | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 53 · Discontinued | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $33.88 |
Where Massachusetts sits
The same service costs 2.9 times more in Arizona than in Alabama. 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
$372
AZ $468AL $162
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.