How much rates vary
Facilitymedian $69 · 10th to 90th $43 to $229Professionalmedian $50 · 10th to 90th $27 to $398
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 $33.88 Median $33.88 Typical High $154.88 | Facility | None | $33.88 | $33.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $154.88 | Professional | None | $33.88 | $33.88 | $154.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $69.18 Median $74.13 Typical High $239.88 | Facility | None | $69.18 | $74.13 | $239.88 |
AllWays Health Partners Setting Professional Modifier None Typical Low $30.90 Median $79.43 Typical High $398.11 | Professional | None | $30.90 | $79.43 | $398.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $134.90 | Facility | None | $44.67 | $44.67 | $134.90 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | None | $50.12 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Facility | None | $36.31 | $36.31 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | None | $26.92 | $26.92 | $37.15 |
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 $29.51 Median $66.07 Typical High $69.18 | Professional | None | $29.51 | $66.07 | $69.18 |
Health New England Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Health New England Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Mass General Brigham Setting Facility Modifier None Typical Low $69.18 Median $74.13 Typical High $239.88 | Facility | None | $69.18 | $74.13 | $239.88 |
Mass General Brigham Setting Professional Modifier None Typical Low $30.90 Median $79.43 Typical High $398.11 | Professional | None | $30.90 | $79.43 | $398.11 |
United Setting Facility Modifier None Typical Low $38.90 Median $91.20 Typical High $91.20 | Facility | None | $38.90 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $25.70 Median $38.02 Typical High $75.86 | Professional | None | $25.70 | $38.02 | $75.86 |
Well Sense Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $120.23 | Facility | None | $60.26 | $81.28 | $120.23 |
Well Sense Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | None | $44.67 | $44.67 | $53.70 |
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 $16.98 Median $16.98 Typical High $77.62 | Professional | 52 · Reduced service | $16.98 | $16.98 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $30.90 | Professional | 53 · Discontinued | $6.76 | $6.76 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.01 Typical High $22.91 | Professional | 55 · Aftercare only | $5.01 | $5.01 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $15.49 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $15.49 |
Where Massachusetts sits
The same service costs 2.9 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
$52.48
HI $91.20DE $31.62
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.