How much rates vary
Facilitymedian $295 · 10th to 90th $141 to $1,820Professionalmedian $363 · 10th to 90th $186 to $871
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $416.87 | Professional | None | $204.17 | $204.17 | $416.87 |
AllWays Health Partners Setting Facility Modifier None Typical Low $134.90 Median $407.38 Typical High $1,862.09 | Facility | None | $134.90 | $407.38 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $1,513.56 | Professional | None | $229.09 | $549.54 | $1,513.56 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $602.56 | Professional | None | $269.15 | $426.58 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $316.23 Typical High $478.63 | Facility | None | $199.53 | $316.23 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $724.44 | Professional | None | $239.88 | $275.42 | $724.44 |
Fallon Health Setting Facility Modifier None Typical Low $147.91 Median $257.04 Typical High $398.11 | Facility | None | $147.91 | $257.04 | $398.11 |
Fallon Health Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $363.08 | Professional | None | $147.91 | $251.19 | $363.08 |
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 $263.03 Median $478.63 Typical High $676.08 | Professional | None | $263.03 | $478.63 | $676.08 |
Health New England Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Health New England Setting Professional Modifier None Typical Low $323.59 Median $812.83 Typical High $812.83 | Professional | None | $323.59 | $812.83 | $812.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $134.90 Median $407.38 Typical High $1,862.09 | Facility | None | $134.90 | $407.38 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $1,513.56 | Professional | None | $229.09 | $549.54 | $1,513.56 |
United Setting Facility Modifier None Typical Low $123.03 Median $537.03 Typical High $2,754.23 | Facility | None | $123.03 | $537.03 | $2,754.23 |
United Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $870.96 | Professional | None | $234.42 | $316.23 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Facility | None | $181.97 | $251.19 | $380.19 |
Well Sense Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | None | $154.88 | $154.88 | $181.97 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $20.42 |
Where Massachusetts sits
The same service costs 3.0 times more in Wisconsin 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· 12th of 51
$347
WI $537FL $182
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.