How much rates vary
Facilitymedian $275 · 10th to 90th $224 to $891Professionalmedian $240 · 10th to 90th $135 to $1,738
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $234.42 | Professional | None | $177.83 | $177.83 | $234.42 |
AllWays Health Partners Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $851.14 | Facility | None | $223.87 | $269.15 | $851.14 |
AllWays Health Partners Setting Professional Modifier None Typical Low $134.90 Median $269.15 Typical High $1,737.80 | Professional | None | $134.90 | $269.15 | $1,737.80 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,479.11 | Facility | None | $489.78 | $489.78 | $1,479.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Professional | None | $275.42 | $275.42 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
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 $134.90 Median $229.09 Typical High $309.03 | Professional | None | $134.90 | $229.09 | $309.03 |
Health New England Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $223.87 Median $269.15 Typical High $851.14 | Facility | None | $223.87 | $269.15 | $851.14 |
Mass General Brigham Setting Professional Modifier None Typical Low $134.90 Median $269.15 Typical High $1,737.80 | Professional | None | $134.90 | $269.15 | $1,737.80 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $125.89 Median $204.17 Typical High $295.12 | Professional | None | $125.89 | $204.17 | $295.12 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $275.42 Typical High $407.38 | Facility | None | $204.17 | $275.42 | $407.38 |
Well Sense Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
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 $89.13 Median $89.13 Typical High $117.49 | Professional | 52 · Reduced service | $89.13 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | 53 · Discontinued | $35.48 | $35.48 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 55 · Aftercare only | $26.92 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | 56 · Pre-op care only | $17.78 | $17.78 | $23.44 |
Where Massachusetts sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 11th of 51
$257
HI $417UT $162
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.