How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,202 to $3,890Professionalmedian $1,413 · 10th to 90th $813 to $14,125
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 $912.01 Median $912.01 Typical High $4,168.69 | Facility | None | $912.01 | $912.01 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $4,168.69 | Professional | None | $912.01 | $912.01 | $4,168.69 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $5,888.44 | Facility | None | $1,698.24 | $1,995.26 | $5,888.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $812.83 Median $2,137.96 Typical High $14,125.38 | Professional | None | $812.83 | $2,137.96 | $14,125.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $3,630.78 | Facility | None | $2,137.96 | $2,691.53 | $3,630.78 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,174.90 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None | $870.96 | $870.96 | $1,202.26 |
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 $794.33 Median $1,778.28 Typical High $1,905.46 | Professional | None | $794.33 | $1,778.28 | $1,905.46 |
Health New England Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $5,888.44 | Facility | None | $1,698.24 | $1,995.26 | $5,888.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $812.83 Median $2,137.96 Typical High $14,125.38 | Professional | None | $812.83 | $2,137.96 | $14,125.38 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,479.11 | $2,398.83 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,995.26 | Professional | None | $691.83 | $1,047.13 | $1,995.26 |
Well Sense Setting Facility Modifier None Typical Low $1,862.09 Median $2,511.89 Typical High $3,715.35 | Facility | None | $1,862.09 | $2,511.89 | $3,715.35 |
Well Sense Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,621.81 | Professional | None | $1,380.38 | $1,380.38 | $1,621.81 |
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 $457.09 Median $457.09 Typical High $2,089.30 | Professional | 52 · Reduced service | $457.09 | $457.09 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $831.76 | Professional | 53 · Discontinued | $181.97 | $181.97 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $630.96 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $416.87 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $416.87 |
Where Massachusetts sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 16th of 51
$1,660
HI $3,467PA $871
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.