How much rates vary
Facilitymedian $302 · 10th to 90th $170 to $912Professionalmedian $195 · 10th to 90th $129 to $1,995
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 $128.82 Median $128.82 Typical High $588.84 | Facility | None | $128.82 | $128.82 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $588.84 | Professional | None | $128.82 | $128.82 | $588.84 |
AllWays Health Partners Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $912.01 | Facility | None | $239.88 | $302.00 | $912.01 |
AllWays Health Partners Setting Professional Modifier None Typical Low $128.82 Median $302.00 Typical High $1,995.26 | Professional | None | $128.82 | $302.00 | $1,995.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $512.86 | Facility | None | $169.82 | $169.82 | $512.86 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $245.47 | Professional | None | $194.98 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $190.55 Typical High $208.93 | Facility | None | $169.82 | $190.55 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Professional | None | $138.04 | $138.04 | $194.98 |
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 $114.82 Median $251.19 Typical High $269.15 | Professional | None | $114.82 | $251.19 | $269.15 |
Health New England Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Mass General Brigham Setting Facility Modifier None Typical Low $239.88 Median $302.00 Typical High $912.01 | Facility | None | $239.88 | $302.00 | $912.01 |
Mass General Brigham Setting Professional Modifier None Typical Low $128.82 Median $302.00 Typical High $1,995.26 | Professional | None | $128.82 | $302.00 | $1,995.26 |
United Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $398.11 | Facility | None | $190.55 | $194.98 | $398.11 |
United Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $288.40 | Professional | None | $97.72 | $147.91 | $288.40 |
Well Sense Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $524.81 | Facility | None | $263.03 | $354.81 | $524.81 |
Well Sense Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None | $190.55 | $190.55 | $229.09 |
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 $64.57 Median $64.57 Typical High $295.12 | Professional | 52 · Reduced service | $64.57 | $64.57 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $117.49 | Professional | 53 · Discontinued | $25.70 | $25.70 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $89.13 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $58.88 |
Where Massachusetts sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 18th of 51
$229
HI $479FL $138
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.