How much rates vary
Facilitymedian $129 · 10th to 90th $60 to $437Professionalmedian $155 · 10th to 90th $98 to $417
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 $128.82 Median $128.82 Typical High $181.97 | Facility | None | $128.82 | $128.82 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $208.93 | Professional | None | $123.03 | $154.88 | $208.93 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $269.15 Typical High $1,202.26 | Facility | None | $91.20 | $269.15 | $1,202.26 |
AllWays Health Partners Setting Professional Modifier None Typical Low $93.33 Median $251.19 Typical High $794.33 | Professional | None | $93.33 | $251.19 | $794.33 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $295.12 Median $346.74 Typical High $457.09 | Facility | None | $295.12 | $346.74 | $457.09 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $173.78 | Professional | None | $97.72 | $97.72 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $269.15 | Professional | None | $107.15 | $120.23 | $269.15 |
Fallon Health Setting Facility Modifier None Typical Low $54.95 Median $97.72 Typical High $141.25 | Facility | None | $54.95 | $97.72 | $141.25 |
Fallon Health Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $141.25 | Professional | None | $54.95 | $97.72 | $141.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $275.42 | Professional | None | $104.71 | $194.98 | $275.42 |
Health New England Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $204.17 | Facility | None | $67.61 | $70.79 | $204.17 |
Health New England Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $199.53 | Professional | None | $83.18 | $181.97 | $199.53 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $269.15 Typical High $1,202.26 | Facility | None | $91.20 | $269.15 | $1,202.26 |
Mass General Brigham Setting Professional Modifier None Typical Low $93.33 Median $251.19 Typical High $794.33 | Professional | None | $93.33 | $251.19 | $794.33 |
United Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $354.81 | Professional | None | $138.04 | $173.78 | $354.81 |
Well Sense Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $147.91 | Facility | None | $72.44 | $100.00 | $147.91 |
Well Sense Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None | $95.50 | $95.50 | $114.82 |
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 $64.57 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $14.13 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $14.13 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $83.18 Median $83.18 Typical High $87.10 | Facility | SA · Nurse practitioner | $83.18 | $83.18 | $87.10 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $83.18 Median $83.18 Typical High $87.10 | Facility | TD · Registered nurse | $83.18 | $83.18 | $87.10 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $97.72 Median $97.72 Typical High $102.33 | Facility | U6 · State-defined | $97.72 | $97.72 | $102.33 |
Where Massachusetts sits
The same service costs 2.0 times more in Alaska than in Washington, DC. 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
$155
AK $209DC $102
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.