How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,413 to $3,388Professionalmedian $1,202 · 10th to 90th $676 to $8,710
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 $724.44 Median $724.44 Typical High $3,311.31 | Facility | None | $724.44 | $724.44 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $3,311.31 | Professional | None | $724.44 | $724.44 | $3,311.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $5,248.07 | Facility | None | $1,548.82 | $1,548.82 | $5,248.07 |
AllWays Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,698.24 Typical High $8,709.64 | Professional | None | $676.08 | $1,698.24 | $8,709.64 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,862.09 | $2,137.96 | $2,818.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,071.52 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $630.96 Median $1,412.54 Typical High $1,479.11 | Professional | None | $630.96 | $1,412.54 | $1,479.11 |
Health New England Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $5,248.07 | Facility | None | $1,548.82 | $1,548.82 | $5,248.07 |
Mass General Brigham Setting Professional Modifier None Typical Low $676.08 Median $1,698.24 Typical High $8,709.64 | Professional | None | $676.08 | $1,698.24 | $8,709.64 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
United Setting Professional Modifier None Typical Low $549.54 Median $812.83 Typical High $1,621.81 | Professional | None | $549.54 | $812.83 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $1,479.11 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,479.11 | $1,949.84 | $2,884.03 |
Well Sense Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,288.25 | Professional | None | $1,071.52 | $1,071.52 | $1,288.25 |
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 $363.08 Median $363.08 Typical High $1,659.59 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $660.69 | Professional | 53 · Discontinued | $144.54 | $144.54 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $489.78 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $331.13 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $331.13 |
Where Massachusetts sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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· 17th of 51
$1,288
HI $1,778DE $692
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.