How much rates vary
Facilitymedian $1,445 · 10th to 90th $776 to $2,692Professionalmedian $871 · 10th to 90th $490 to $2,138
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $2,691.53 | Facility | None | $776.25 | $933.25 | $2,691.53 |
AllWays Health Partners Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $6,456.54 | Professional | None | $457.09 | $933.25 | $6,456.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,398.83 | Facility | None | $1,445.44 | $1,778.28 | $2,398.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,621.81 | Professional | None | $912.01 | $954.99 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $831.76 | Professional | None | $588.84 | $588.84 | $831.76 |
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 $457.09 Median $794.33 Typical High $1,047.13 | Professional | None | $457.09 | $794.33 | $1,047.13 |
Health New England Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | None | $707.95 | $707.95 | $870.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $2,691.53 | Facility | None | $776.25 | $933.25 | $2,691.53 |
Mass General Brigham Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $6,456.54 | Professional | None | $457.09 | $933.25 | $6,456.54 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,000.00 | Professional | None | $436.52 | $691.83 | $1,000.00 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,380.38 | Facility | None | $691.83 | $933.25 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | None | $891.25 | $891.25 | $1,071.52 |
5 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 $302.00 Median $302.00 Typical High $407.38 | Professional | 52 · Reduced service | $302.00 | $302.00 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | 53 · Discontinued | $120.23 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | 55 · Aftercare only | $91.20 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
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
$871
HI $1,445UT $550
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.