How much rates vary
Facilitymedian $71 · 10th to 90th $30 to $2,344Professionalmedian $68 · 10th to 90th $33 to $174
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 $50.12 Median $2,691.53 Typical High $5,128.61 | Facility | None | $50.12 | $2,691.53 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $50.12 Typical High $87.10 | Professional | None | $30.20 | $50.12 | $87.10 |
AllWays Health Partners Setting Facility Modifier None Typical Low $22.39 Median $309.03 Typical High $2,398.83 | Facility | None | $22.39 | $309.03 | $2,398.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $36.31 Median $77.62 Typical High $323.59 | Professional | None | $36.31 | $77.62 | $323.59 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $70.79 | Facility | None | $30.20 | $30.20 | $70.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $30.20 Median $58.88 Typical High $109.65 | Professional | None | $30.20 | $58.88 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $2,691.53 | Facility | None | $676.08 | $758.58 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | None | $46.77 | $46.77 | $66.07 |
Fallon Health Setting Facility Modifier None Typical Low $31.62 Median $38.02 Typical High $83.18 | Facility | None | $31.62 | $38.02 | $83.18 |
Fallon Health Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $91.20 | Professional | None | $61.66 | $74.13 | $91.20 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $87.10 Median $537.03 Typical High $2,818.38 | Facility | None | $87.10 | $537.03 | $2,818.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $34.67 Median $72.44 Typical High $144.54 | Professional | None | $34.67 | $72.44 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $22.39 Median $309.03 Typical High $2,398.83 | Facility | None | $22.39 | $309.03 | $2,398.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $36.31 Median $77.62 Typical High $323.59 | Professional | None | $36.31 | $77.62 | $323.59 |
United Setting Facility Modifier None Typical Low $117.49 Median $537.03 Typical High $2,818.38 | Facility | None | $117.49 | $537.03 | $2,818.38 |
United Setting Professional Modifier None Typical Low $38.90 Median $70.79 Typical High $154.88 | Professional | None | $38.90 | $70.79 | $154.88 |
Well Sense Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $79.43 | Facility | None | $38.90 | $53.70 | $79.43 |
Well Sense Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | None | $37.15 | $37.15 | $44.67 |
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 $15.14 Median $25.12 Typical High $44.67 | Professional | 52 · Reduced service | $15.14 | $25.12 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $10.00 Typical High $17.78 | Professional | 53 · Discontinued | $6.03 | $10.00 | $17.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.91 Median $37.15 Typical High $66.07 | Professional | 54 · Surgery only | $22.91 | $37.15 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $7.41 Typical High $13.18 | Professional | 55 · Aftercare only | $4.57 | $7.41 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $5.01 Typical High $8.91 | Professional | 56 · Pre-op care only | $3.02 | $5.01 | $8.91 |
Where Massachusetts sits
The same service costs 2.8 times more in Alaska than in California. 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· 9th of 51
$67.61
AK $129CA $46.77
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.