How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,288 to $3,715Professionalmedian $1,445 · 10th to 90th $851 to $12,303
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 $870.96 Median $870.96 Typical High $3,981.07 | Facility | None | $870.96 | $870.96 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $3,981.07 | Professional | None | $870.96 | $870.96 | $3,981.07 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $5,623.41 | Facility | None | $1,778.28 | $1,995.26 | $5,623.41 |
AllWays Health Partners Setting Professional Modifier None Typical Low $851.14 Median $2,041.74 Typical High $12,302.69 | Professional | None | $851.14 | $2,041.74 | $12,302.69 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,467.37 | Facility | None | $2,041.74 | $2,570.40 | $3,467.37 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,445.44 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,412.54 | Facility | None | $1,148.15 | $1,288.25 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
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 $776.25 Median $1,698.24 Typical High $1,819.70 | Professional | None | $776.25 | $1,698.24 | $1,819.70 |
Health New England Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Health New England Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $5,623.41 | Facility | None | $1,778.28 | $1,995.26 | $5,623.41 |
Mass General Brigham Setting Professional Modifier None Typical Low $851.14 Median $2,041.74 Typical High $12,302.69 | Professional | None | $851.14 | $2,041.74 | $12,302.69 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $2,570.40 | Facility | None | $1,258.93 | $1,318.26 | $2,570.40 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,949.84 | Professional | None | $660.69 | $1,000.00 | $1,949.84 |
Well Sense Setting Facility Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $3,548.13 | Facility | None | $1,778.28 | $2,398.83 | $3,548.13 |
Well Sense Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,548.82 | Professional | None | $1,318.26 | $1,318.26 | $1,548.82 |
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 $436.52 Median $436.52 Typical High $1,995.26 | Professional | 52 · Reduced service | $436.52 | $436.52 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $794.33 | Professional | 53 · Discontinued | $173.78 | $173.78 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $131.83 Typical High $602.56 | Professional | 55 · Aftercare only | $131.83 | $131.83 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $398.11 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $398.11 |
Where Massachusetts sits
The same service costs 3.2 times more in Hawaii than in Alabama. 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· 15th of 51
$1,549
HI $3,020AL $933
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.