How much rates vary
Facilitymedian $1,622 · 10th to 90th $891 to $3,631Professionalmedian $1,288 · 10th to 90th $1,259 to $1,905
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 $1,230.27 Median $1,258.93 Typical High $4,786.30 | Facility | None | $1,230.27 | $1,258.93 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,258.93 | $1,621.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,174.90 Median $2,951.21 Typical High $3,890.45 | Facility | None | $1,174.90 | $2,951.21 | $3,890.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,258.93 | $1,905.46 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $3,019.95 | Facility | None | $1,445.44 | $1,659.59 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,691.53 Typical High $5,623.41 | Facility | None | $1,659.59 | $2,691.53 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,288.25 | $1,288.25 | $1,479.11 |
Fallon Health Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $5,888.44 | Facility | None | $616.60 | $954.99 | $5,888.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,288.25 | $2,137.96 |
Health New England Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $3,630.78 | Facility | None | $1,288.25 | $1,698.24 | $3,630.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,174.90 Median $2,951.21 Typical High $3,890.45 | Facility | None | $1,174.90 | $2,951.21 | $3,890.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,174.90 | $1,258.93 | $1,905.46 |
Tufts Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Facility | None | $891.25 | $891.25 | $1,230.27 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,258.93 | $2,137.96 |
Well Sense Setting Facility Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,570.40 | Facility | None | $1,513.56 | $1,778.28 | $2,570.40 |
Well Sense Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,548.82 | Professional | None | $1,288.25 | $1,288.25 | $1,548.82 |
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 $630.96 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $125.89 |
Where Massachusetts sits
The same service costs 2.9 times more in Minnesota than in Alabama. 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· 18th of 51
$1,288
MN $2,239AL $776
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.