How much rates vary
Facilitymedian $214 · 10th to 90th $120 to $562Professionalmedian $275 · 10th to 90th $195 to $676
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 $208.93 Median $208.93 Typical High $302.00 | Facility | None | $208.93 | $208.93 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $363.08 | Professional | None | $208.93 | $251.19 | $363.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $588.84 Typical High $2,951.21 | Facility | None | $91.20 | $588.84 | $2,951.21 |
AllWays Health Partners Setting Professional Modifier None Typical Low $199.53 Median $489.78 Typical High $1,288.25 | Professional | None | $199.53 | $489.78 | $1,288.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $380.19 | Professional | None | $208.93 | $208.93 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $457.09 | Professional | None | $229.09 | $229.09 | $457.09 |
Fallon Health Setting Facility Modifier None Typical Low $117.49 Median $213.80 Typical High $309.03 | Facility | None | $117.49 | $213.80 | $309.03 |
Fallon Health Setting Professional Modifier None Typical Low $117.49 Median $213.80 Typical High $309.03 | Professional | None | $117.49 | $213.80 | $309.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $229.09 Median $398.11 Typical High $575.44 | Professional | None | $229.09 | $398.11 | $575.44 |
Health New England Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Health New England Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $426.58 | Professional | None | $346.74 | $371.54 | $426.58 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $588.84 Typical High $2,951.21 | Facility | None | $91.20 | $588.84 | $2,951.21 |
Mass General Brigham Setting Professional Modifier None Typical Low $199.53 Median $489.78 Typical High $1,288.25 | Professional | None | $199.53 | $489.78 | $1,288.25 |
United Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $645.65 | Professional | None | $223.87 | $309.03 | $645.65 |
Well Sense Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | None | $158.49 | $158.49 | $186.21 |
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 $104.71 Median $104.71 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $22.91 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $158.49 Median $177.83 Typical High $186.21 | Facility | SA · Nurse practitioner | $158.49 | $177.83 | $186.21 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $177.83 Median $177.83 Typical High $186.21 | Facility | TD · Registered nurse | $177.83 | $177.83 | $186.21 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $186.21 Median $208.93 Typical High $218.78 | Facility | U6 · State-defined | $186.21 | $208.93 | $218.78 |
Where Massachusetts sits
The same service costs 2.4 times more in Alaska than in Utah. 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
$269
AK $407UT $170
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.