How much rates vary
Facilitymedian $3,715 · 10th to 90th $2,818 to $7,943Professionalmedian $2,884 · 10th to 90th $2,818 to $12,303
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 $2,884.03 Median $2,884.03 Typical High $4,073.80 | Facility | None | $2,884.03 | $2,884.03 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $9,332.54 | Facility | None | $2,454.71 | $3,162.28 | $9,332.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $12,302.69 | Professional | None | $2,818.38 | $3,019.95 | $12,302.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,884.03 Median $3,235.94 Typical High $5,888.44 | Facility | None | $2,884.03 | $3,235.94 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $5,128.61 Typical High $12,589.25 | Facility | None | $2,818.38 | $5,128.61 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Fallon Health Setting Facility Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $5,888.44 | Facility | None | $2,818.38 | $3,715.35 | $5,888.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,818.38 | $2,884.03 | $3,311.31 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $9,332.54 | Facility | None | $2,454.71 | $3,162.28 | $9,332.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $12,302.69 | Professional | None | $2,818.38 | $3,019.95 | $12,302.69 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,019.95 | Professional | None | $2,818.38 | $2,818.38 | $3,019.95 |
Well Sense Setting Facility Modifier None Typical Low $3,090.30 Median $4,168.69 Typical High $6,760.83 | Facility | None | $3,090.30 | $4,168.69 | $6,760.83 |
Well Sense Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,890.45 | Professional | None | $2,884.03 | $2,884.03 | $3,890.45 |
4 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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $288.40 | $288.40 | $288.40 |
Where Massachusetts sits
Rates are fairly even across states for this service. 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· 22nd of 51
$2,884
AK $3,548UT $2,884
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.