How much rates vary
Facilitymedian $224 · 10th to 90th $178 to $1,072Professionalmedian $200 · 10th to 90th $112 to $1,445
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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | None | $147.91 | $147.91 | $194.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $645.65 | Facility | None | $186.21 | $223.87 | $645.65 |
AllWays Health Partners Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $1,445.44 | Professional | None | $112.20 | $223.87 | $1,445.44 |
BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $3,235.94 | Facility | None | $1,071.52 | $1,071.52 | $3,235.94 |
BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | None | $218.78 | $218.78 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
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 $112.20 Median $190.55 Typical High $257.04 | Professional | None | $112.20 | $190.55 | $257.04 |
Health New England Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $645.65 | Facility | None | $186.21 | $223.87 | $645.65 |
Mass General Brigham Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $1,445.44 | Professional | None | $112.20 | $223.87 | $1,445.44 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $239.88 | Professional | None | $104.71 | $169.82 | $239.88 |
Well Sense Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $331.13 | Facility | None | $169.82 | $229.09 | $331.13 |
Well Sense Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
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 $74.13 Median $74.13 Typical High $97.72 | Professional | 52 · Reduced service | $74.13 | $74.13 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | 53 · Discontinued | $29.51 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $19.50 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $19.50 |
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
$209
HI $347UT $132
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.