How much rates vary
Facilitymedian $138 · 10th to 90th $71 to $355Professionalmedian $178 · 10th to 90th $110 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 $107.15 Median $177.83 Typical High $316.23 | Facility | None | $107.15 | $177.83 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $281.84 | Professional | None | $107.15 | $117.49 | $281.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $91.20 Median $269.15 Typical High $446.68 | Facility | None | $91.20 | $269.15 | $446.68 |
AllWays Health Partners Setting Professional Modifier None Typical Low $112.20 Median $263.03 Typical High $1,174.90 | Professional | None | $112.20 | $263.03 | $1,174.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $109.65 Median $263.03 Typical High $354.81 | Facility | None | $109.65 | $263.03 | $354.81 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $251.19 | Professional | None | $109.65 | $151.36 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,174.90 | Facility | None | $398.11 | $398.11 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $257.04 | Professional | None | $117.49 | $134.90 | $257.04 |
Fallon Health Setting Facility Modifier None Typical Low $63.10 Median $114.82 Typical High $162.18 | Facility | None | $63.10 | $114.82 | $162.18 |
Fallon Health Setting Professional Modifier None Typical Low $87.10 Median $151.36 Typical High $223.87 | Professional | None | $87.10 | $151.36 | $223.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $371.54 | Professional | None | $120.23 | $245.47 | $371.54 |
Health New England Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $2,570.40 | Facility | None | $371.54 | $741.31 | $2,570.40 |
Health New England Setting Professional Modifier None Typical Low $190.55 Median $933.25 Typical High $933.25 | Professional | None | $190.55 | $933.25 | $933.25 |
Mass General Brigham Setting Facility Modifier None Typical Low $91.20 Median $269.15 Typical High $446.68 | Facility | None | $91.20 | $269.15 | $446.68 |
Mass General Brigham Setting Professional Modifier None Typical Low $112.20 Median $263.03 Typical High $1,174.90 | Professional | None | $112.20 | $263.03 | $1,174.90 |
Tufts Setting Professional Modifier None Typical Low $77.62 Median $144.54 Typical High $190.55 | Professional | None | $77.62 | $144.54 | $190.55 |
United Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $346.74 | Professional | None | $112.20 | $162.18 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $181.97 | Facility | None | $85.11 | $117.49 | $181.97 |
Well Sense Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $107.15 | Professional | None | $79.43 | $87.10 | $107.15 |
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 $53.70 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $53.70 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.78 Typical High $19.05 | Professional | 55 · Aftercare only | $15.85 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $11.75 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.72 | $11.75 | $12.59 |
Well Sense Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $70.79 Typical High $85.11 | Professional | HO · Master's level | $60.26 | $70.79 | $85.11 |
Well Sense Setting Professional Modifier SB · Nurse midwife Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | SB · Nurse midwife | $66.07 | $66.07 | $93.33 |
Where Massachusetts sits
The same service costs 2.7 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· 11th of 51
$178
AK $263NJ $97.72
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.