How much rates vary
Facilitymedian $102 · 10th to 90th $51 to $245Professionalmedian $100 · 10th to 90th $69 to $245
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 $70.79 Median $79.43 Typical High $107.15 | Facility | None | $70.79 | $79.43 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $128.82 | Professional | None | $70.79 | $89.13 | $128.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $645.65 | Facility | None | $87.10 | $204.17 | $645.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $72.44 Median $194.98 Typical High $467.74 | Professional | None | $72.44 | $194.98 | $467.74 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $165.96 Median $190.55 Typical High $257.04 | Facility | None | $165.96 | $190.55 | $257.04 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $154.88 | Professional | None | $83.18 | $83.18 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $181.97 | Professional | None | $87.10 | $91.20 | $181.97 |
Fallon Health Setting Facility Modifier None Typical Low $47.86 Median $83.18 Typical High $120.23 | Facility | None | $47.86 | $83.18 | $120.23 |
Fallon Health Setting Professional Modifier None Typical Low $46.77 Median $83.18 Typical High $120.23 | Professional | None | $46.77 | $83.18 | $120.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $81.28 Median $154.88 Typical High $223.87 | Professional | None | $81.28 | $154.88 | $223.87 |
Health New England Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $1,148.15 | Facility | None | $208.93 | $208.93 | $1,148.15 |
Health New England Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $181.97 | Professional | None | $120.23 | $169.82 | $181.97 |
Mass General Brigham Setting Facility Modifier None Typical Low $87.10 Median $204.17 Typical High $645.65 | Facility | None | $87.10 | $204.17 | $645.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $72.44 Median $194.98 Typical High $467.74 | Professional | None | $72.44 | $194.98 | $467.74 |
Tufts Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $128.82 | Professional | None | $56.23 | $74.13 | $128.82 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $229.09 | Professional | None | $75.86 | $112.20 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $123.03 | Facility | None | $60.26 | $83.18 | $123.03 |
Well Sense Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | None | $51.29 | $51.29 | $61.66 |
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 $35.48 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $11.48 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $7.76 |
Fallon Health Setting Facility Modifier SA · Nurse practitioner Typical Low $70.79 Median $75.86 Typical High $83.18 | Facility | SA · Nurse practitioner | $70.79 | $75.86 | $83.18 |
Fallon Health Setting Facility Modifier TD · Registered nurse Typical Low $70.79 Median $70.79 Typical High $75.86 | Facility | TD · Registered nurse | $70.79 | $70.79 | $75.86 |
Fallon Health Setting Facility Modifier U6 · State-defined Typical Low $83.18 Median $83.18 Typical High $97.72 | Facility | U6 · State-defined | $83.18 | $83.18 | $97.72 |
Where Massachusetts sits
The same service costs 2.3 times more in Alaska than in New Jersey. 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· 15th of 51
$100
AK $155NJ $67.61
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.