How much rates vary
Facilitymedian $107 · 10th to 90th $49 to $1,023Professionalmedian $138 · 10th to 90th $72 to $537
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 $104.71 Median $104.71 Typical High $257.04 | Facility | None | $104.71 | $104.71 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $257.04 | Professional | None (both parts) | $75.86 | $102.33 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
AllWays Health Partners Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $1,071.52 | Facility | None | $181.97 | $234.42 | $1,071.52 |
AllWays Health Partners Setting Professional Modifier None (both parts) Typical Low $91.20 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $91.20 | $331.13 | $537.03 |
AllWays Health Partners Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $104.71 | $467.74 | $467.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $707.95 Median $831.76 Typical High $1,096.48 | Facility | None | $707.95 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $851.14 Typical High $1,288.25 | Facility | None | $263.03 | $851.14 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $239.88 | Professional | None (both parts) | $100.00 | $100.00 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $91.20 | $134.90 | $229.09 |
Fallon Health Setting Facility Modifier None Typical Low $44.67 Median $83.18 Typical High $114.82 | Facility | None | $44.67 | $83.18 | $114.82 |
Fallon Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $114.82 | Professional | None (both parts) | $43.65 | $79.43 | $114.82 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $85.11 | $138.04 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $1,071.52 | Facility | None | $181.97 | $234.42 | $1,071.52 |
Mass General Brigham Setting Professional Modifier None (both parts) Typical Low $91.20 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $91.20 | $331.13 | $537.03 |
Mass General Brigham Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $104.71 | $467.74 | $467.74 |
United Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,479.11 | Facility | None | $524.81 | $977.24 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $346.74 | Professional | None (both parts) | $93.33 | $128.82 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $125.89 | Facility | None | $61.66 | $85.11 | $125.89 |
Well Sense Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $64.57 | $64.57 | $77.62 |
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 $45.71 Median $45.71 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $18.20 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $11.22 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $11.22 |
Where Massachusetts sits
The same service costs 2.9 times more in Alaska than in Florida. 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
$138
AK $219FL $75.86
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.