How much rates vary
Facilitymedian $219 · 10th to 90th $123 to $724Professionalmedian $138 · 10th to 90th $87 to $1,175
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 $102.33 Median $102.33 Typical High $467.74 | Facility | None | $102.33 | $102.33 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $467.74 | Professional | None | $102.33 | $102.33 | $467.74 |
AllWays Health Partners Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $741.31 | Facility | None | $181.97 | $223.87 | $741.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $87.10 Median $239.88 Typical High $1,174.90 | Professional | None | $87.10 | $239.88 | $1,174.90 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $416.87 | Facility | None | $134.90 | $134.90 | $416.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | None | $138.04 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $134.90 | Facility | None | $123.03 | $123.03 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
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 $79.43 Median $199.53 Typical High $213.80 | Professional | None | $79.43 | $199.53 | $213.80 |
Health New England Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Mass General Brigham Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $741.31 | Facility | None | $181.97 | $223.87 | $741.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $87.10 Median $239.88 Typical High $1,174.90 | Professional | None | $87.10 | $239.88 | $1,174.90 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $239.88 | Facility | None | $87.10 | $100.00 | $239.88 |
United Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $229.09 | Professional | None | $77.62 | $117.49 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $363.08 | Facility | None | $181.97 | $245.47 | $363.08 |
Well Sense Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | None | $144.54 | $144.54 | $173.78 |
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 $51.29 Median $51.29 Typical High $234.42 | Professional | 52 · Reduced service | $51.29 | $51.29 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $93.33 | Professional | 53 · Discontinued | $20.42 | $20.42 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $70.79 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $46.77 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $46.77 |
Where Massachusetts sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 15th of 51
$151
HI $219AZ $89.13
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.