How much rates vary
Facilitymedian $525 · 10th to 90th $191 to $1,862Professionalmedian $776 · 10th to 90th $251 to $3,090
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 $2,691.53 Median $2,818.38 Typical High $5,128.61 | Facility | None | $2,691.53 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $537.03 | Professional | None (both parts) | $512.86 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $1,230.27 | Professional | 26 · Professional part | $371.54 | $371.54 | $1,230.27 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $141.25 | $141.25 | $141.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,691.53 | Facility | None | $123.03 | $602.56 | $2,691.53 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,862.09 Typical High $12,022.64 | Professional | None (both parts) | $645.65 | $1,862.09 | $12,022.64 |
AllWays Health Partners Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $1,047.13 Typical High $3,235.94 | Professional | 26 · Professional part | $416.87 | $1,047.13 | $3,235.94 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $870.96 Typical High $11,481.54 | Professional | TC · Technical part | $338.84 | $870.96 | $11,481.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,698.24 | Facility | None | $1,096.48 | $1,288.25 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $8,317.64 Median $50,118.72 Typical High $56,234.13 | Facility | None | $8,317.64 | $50,118.72 | $56,234.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,479.11 | Professional | None (both parts) | $954.99 | $954.99 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $691.83 Median $691.83 Typical High $1,096.48 | Professional | 26 · Professional part | $691.83 | $691.83 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $263.03 | $263.03 | $407.38 |
Fallon Health Setting Facility Modifier None Typical Low $190.55 Median $426.58 Typical High $912.01 | Facility | None | $190.55 | $426.58 | $912.01 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $204.17 | $436.52 | $912.01 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $4,168.69 | Facility | None | $87.10 | $537.03 | $4,168.69 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,548.82 Typical High $2,238.72 | Professional | None (both parts) | $851.14 | $1,548.82 | $2,238.72 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $870.96 Typical High $1,288.25 | Professional | 26 · Professional part | $478.63 | $870.96 | $1,288.25 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $676.08 Typical High $977.24 | Professional | TC · Technical part | $363.08 | $676.08 | $977.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $123.03 Median $602.56 Typical High $2,691.53 | Facility | None | $123.03 | $602.56 | $2,691.53 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,862.09 Typical High $12,022.64 | Professional | None (both parts) | $645.65 | $1,862.09 | $12,022.64 |
Mass General Brigham Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $1,047.13 Typical High $3,235.94 | Professional | 26 · Professional part | $416.87 | $1,047.13 | $3,235.94 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $870.96 Typical High $11,481.54 | Professional | TC · Technical part | $338.84 | $870.96 | $11,481.54 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $7,413.10 | Facility | None | $117.49 | $537.03 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,122.02 Typical High $3,162.28 | Professional | None (both parts) | $776.25 | $1,122.02 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $630.96 Typical High $1,778.28 | Professional | 26 · Professional part | $436.52 | $630.96 | $1,778.28 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $524.81 Typical High $1,380.38 | Professional | TC · Technical part | $338.84 | $524.81 | $1,380.38 |
Well Sense Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $660.69 | Facility | None | $562.34 | $660.69 | $660.69 |
Well Sense Setting Facility Modifier 26 · Professional part Typical Low $281.84 Median $371.54 Typical High $575.44 | Facility | 26 · Professional part | $281.84 | $371.54 | $575.44 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $645.65 | Professional | None (both parts) | $537.03 | $537.03 | $645.65 |
6 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 $257.04 Median $257.04 Typical High $269.15 | Professional | 52 · Reduced service | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 53 · Discontinued | $102.33 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $398.11 | Professional | 54 · Surgery only | $389.05 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $53.70 |
BCBS Massachusetts Setting Professional Modifier 52 · Reduced service Typical Low $288.40 Median $380.19 Typical High $501.19 | Professional | 52 · Reduced service | $288.40 | $380.19 | $501.19 |
Where Massachusetts sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 43rd of 51
$646
NE $2,818MD $501
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.