How much rates vary
Facilitymedian $174 · 10th to 90th $85 to $331Professionalmedian $148 · 10th to 90th $115 to $355
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 $120.23 Median $181.97 Typical High $602.56 | Facility | None | $120.23 | $181.97 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $181.97 | Professional | None | $120.23 | $120.23 | $181.97 |
AllWays Health Partners Setting Facility Modifier None Typical Low $138.04 Median $331.13 Typical High $467.74 | Facility | None | $138.04 | $331.13 | $467.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $389.05 | Professional | None | $114.82 | $144.54 | $389.05 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $257.04 | Facility | None | $165.96 | $190.55 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $181.97 | Facility | None | $89.13 | $89.13 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $363.08 | Professional | None | $177.83 | $190.55 | $363.08 |
Fallon Health Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $208.93 | Facility | None | $81.28 | $138.04 | $208.93 |
Fallon Health Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $204.17 | Professional | None | $77.62 | $123.03 | $204.17 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $346.74 | Professional | None | $147.91 | $147.91 | $346.74 |
Mass General Brigham Setting Facility Modifier None Typical Low $138.04 Median $331.13 Typical High $467.74 | Facility | None | $138.04 | $331.13 | $467.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $389.05 | Professional | None | $114.82 | $144.54 | $389.05 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $134.90 | Facility | None | $123.03 | $123.03 | $134.90 |
United Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $489.78 | Professional | None | $131.83 | $177.83 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $93.33 Median $131.83 Typical High $194.98 | Facility | None | $93.33 | $131.83 | $194.98 |
Well Sense Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None | $134.90 | $134.90 | $158.49 |
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 $60.26 Median $60.26 Typical High $91.20 | Professional | 52 · Reduced service | $60.26 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $36.31 | Professional | 53 · Discontinued | $23.99 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $26.92 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $18.20 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $18.20 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in Indiana. 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· 22nd of 51
$148
AK $269IN $95.50
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.