How much rates vary
Facilitymedian $110 · 10th to 90th $51 to $407Professionalmedian $132 · 10th to 90th $78 to $316
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 $97.72 Median $123.03 Typical High $147.91 | Facility | None | $97.72 | $123.03 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $177.83 | Professional | None | $97.72 | $131.83 | $177.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $1,202.26 | Facility | None | $87.10 | $199.53 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $75.86 Median $204.17 Typical High $616.60 | Professional | None | $75.86 | $204.17 | $616.60 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $346.74 | Facility | None | $229.09 | $263.03 | $346.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $177.83 | Professional | None | $81.28 | $81.28 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $208.93 | Professional | None | $91.20 | $97.72 | $208.93 |
Fallon Health Setting Facility Modifier None Typical Low $46.77 Median $83.18 Typical High $120.23 | Facility | None | $46.77 | $83.18 | $120.23 |
Fallon Health Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $120.23 | Professional | None | $45.71 | $83.18 | $120.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $229.09 | Professional | None | $89.13 | $162.18 | $229.09 |
Health New England Setting Facility Modifier None Typical Low $70.79 Median $660.69 Typical High $1,412.54 | Facility | None | $70.79 | $660.69 | $1,412.54 |
Health New England Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $245.47 | Professional | None | $144.54 | $213.80 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $87.10 Median $199.53 Typical High $1,202.26 | Facility | None | $87.10 | $199.53 | $1,202.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $75.86 Median $204.17 Typical High $616.60 | Professional | None | $75.86 | $204.17 | $616.60 |
Tufts Setting Facility Modifier None Typical Low $229.09 Median $489.78 Typical High $1,412.54 | Facility | None | $229.09 | $489.78 | $1,412.54 |
United Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $288.40 | Professional | None | $85.11 | $134.90 | $288.40 |
Well Sense Setting Facility Modifier None Typical Low $60.26 Median $85.11 Typical High $125.89 | Facility | None | $60.26 | $85.11 | $125.89 |
Well Sense Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None | $69.18 | $69.18 | $83.18 |
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 $48.98 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $10.47 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $69.18 Median $74.13 Typical High $162.18 | Facility | SA · Nurse practitioner | $69.18 | $74.13 | $162.18 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $69.18 Median $69.18 Typical High $74.13 | Facility | TD · Registered nurse | $69.18 | $69.18 | $74.13 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $83.18 Median $87.10 Typical High $177.83 | Facility | U6 · State-defined | $83.18 | $87.10 | $177.83 |
Where Massachusetts sits
The same service costs 2.3 times more in Alaska than in Alabama. 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
$132
AK $174AL $74.13
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.