How much rates vary
Facilitymedian $126 · 10th to 90th $59 to $724Professionalmedian $240 · 10th to 90th $112 to $692
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 $537.03 Median $2,187.76 Typical High $3,630.78 | Facility | None | $537.03 | $2,187.76 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $323.59 | Professional | None | $117.49 | $239.88 | $323.59 |
AllWays Health Partners Setting Facility Modifier None Typical Low $64.57 Median $199.53 Typical High $354.81 | Facility | None | $64.57 | $199.53 | $354.81 |
AllWays Health Partners Setting Professional Modifier None Typical Low $125.89 Median $309.03 Typical High $1,479.11 | Professional | None | $125.89 | $309.03 | $1,479.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $87.10 Median $501.19 Typical High $707.95 | Facility | None | $87.10 | $501.19 | $707.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $87.10 Median $199.53 Typical High $371.54 | Professional | None | $87.10 | $199.53 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $575.44 Typical High $933.25 | Facility | None | $147.91 | $575.44 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $223.87 Typical High $478.63 | Professional | None | $107.15 | $223.87 | $478.63 |
Fallon Health Setting Facility Modifier None Typical Low $50.12 Median $91.20 Typical High $128.82 | Facility | None | $50.12 | $91.20 | $128.82 |
Fallon Health Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $295.12 | Professional | None | $117.49 | $204.17 | $295.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $125.89 Median $251.19 Typical High $537.03 | Professional | None | $125.89 | $251.19 | $537.03 |
Mass General Brigham Setting Facility Modifier None Typical Low $64.57 Median $199.53 Typical High $354.81 | Facility | None | $64.57 | $199.53 | $354.81 |
Mass General Brigham Setting Professional Modifier None Typical Low $125.89 Median $309.03 Typical High $1,479.11 | Professional | None | $125.89 | $309.03 | $1,479.11 |
United Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $1,584.89 | Facility | None | $562.34 | $1,071.52 | $1,584.89 |
United Setting Professional Modifier None Typical Low $128.82 Median $295.12 Typical High $676.08 | Professional | None | $128.82 | $295.12 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $104.71 Median $181.97 Typical High $295.12 | Facility | None | $104.71 | $181.97 | $295.12 |
Well Sense Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $223.87 | Professional | None | $89.13 | $107.15 | $223.87 |
5 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 $58.88 Median $120.23 Typical High $158.49 | Professional | 52 · Reduced service | $58.88 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $47.86 Typical High $63.10 | Professional | 53 · Discontinued | $23.44 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $177.83 Typical High $239.88 | Professional | 54 · Surgery only | $89.13 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $35.48 Typical High $47.86 | Professional | 55 · Aftercare only | $17.78 | $35.48 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $23.99 Typical High $31.62 | Professional | 56 · Pre-op care only | $11.75 | $23.99 | $31.62 |
Where Massachusetts sits
The same service costs 3.4 times more in Alaska 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· 14th of 51
$240
AK $468MD $138
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.