How much rates vary
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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
AllWays Health Partners Setting Facility Modifier None Typical Low $87.10 Median $501.19 Typical High $2,398.83 | Facility | None | $87.10 | $501.19 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $48.98 Median $120.23 Typical High $630.96 | Professional | None | $48.98 | $120.23 | $630.96 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $218.78 | Facility | None | $141.25 | $165.96 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | None | $97.72 | $97.72 | $165.96 |
Fallon Health Setting Facility Modifier None Typical Low $29.51 Median $57.54 Typical High $218.78 | Facility | None | $29.51 | $57.54 | $218.78 |
Fallon Health Setting Professional Modifier None Typical Low $33.88 Median $58.88 Typical High $85.11 | Professional | None | $33.88 | $58.88 | $85.11 |
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 $57.54 Median $112.20 Typical High $151.36 | Professional | None | $57.54 | $112.20 | $151.36 |
Mass General Brigham Setting Facility Modifier None Typical Low $87.10 Median $501.19 Typical High $2,398.83 | Facility | None | $87.10 | $501.19 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $48.98 Median $120.23 Typical High $630.96 | Professional | None | $48.98 | $120.23 | $630.96 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $257.04 | Professional | None | $69.18 | $95.50 | $257.04 |
Well Sense Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $81.28 | Facility | None | $38.90 | $53.70 | $81.28 |
Well Sense Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | None | $44.67 | $44.67 | $53.70 |
1 more rate 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 54 · Surgery only Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 54 · Surgery only | $42.66 | $42.66 | $42.66 |
Where Massachusetts sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 28th of 51
$87.10
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.