How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,585 to $5,012Professionalmedian $1,820 · 10th to 90th $1,072 to $15,488
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 $1,202.26 Median $1,202.26 Typical High $5,495.41 | Facility | None | $1,202.26 | $1,202.26 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $5,495.41 | Professional | None | $1,202.26 | $1,202.26 | $5,495.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $7,762.47 | Facility | None | $2,290.87 | $2,570.40 | $7,762.47 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,071.52 Median $2,754.23 Typical High $15,488.17 | Professional | None | $1,071.52 | $2,754.23 | $15,488.17 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $4,786.30 | Facility | None | $2,754.23 | $3,548.13 | $4,786.30 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,949.84 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,122.02 | $1,584.89 |
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 $1,071.52 Median $2,344.23 Typical High $2,454.71 | Professional | None | $1,071.52 | $2,344.23 | $2,454.71 |
Health New England Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $7,762.47 | Facility | None | $2,290.87 | $2,570.40 | $7,762.47 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,071.52 Median $2,754.23 Typical High $15,488.17 | Professional | None | $1,071.52 | $2,754.23 | $15,488.17 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $3,235.94 | Facility | None | $1,584.89 | $1,659.59 | $3,235.94 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $2,630.27 | Professional | None | $912.01 | $1,348.96 | $2,630.27 |
Well Sense Setting Facility Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $4,786.30 | Facility | None | $2,454.71 | $3,311.31 | $4,786.30 |
Well Sense Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,137.96 | Professional | None | $1,778.28 | $1,778.28 | $2,137.96 |
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 $602.56 Median $602.56 Typical High $2,754.23 | Professional | 52 · Reduced service | $602.56 | $602.56 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $1,096.48 | Professional | 53 · Discontinued | $239.88 | $239.88 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $812.83 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $549.54 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $549.54 |
Where Massachusetts sits
The same service costs 3.1 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
$2,089
HI $3,467DE $1,122
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.