How much rates vary
Facilitymedian $200 · 10th to 90th $102 to $355Professionalmedian $117 · 10th to 90th $69 to $912
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 $77.62 Median $77.62 Typical High $354.81 | Facility | None | $77.62 | $77.62 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $354.81 | Professional | None | $77.62 | $77.62 | $354.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $501.19 | Facility | None | $154.88 | $169.82 | $501.19 |
AllWays Health Partners Setting Professional Modifier None Typical Low $69.18 Median $181.97 Typical High $912.01 | Professional | None | $69.18 | $181.97 | $912.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $309.03 | Facility | None | $177.83 | $229.09 | $309.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | None | $117.49 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $117.49 Typical High $125.89 | Facility | None | $102.33 | $117.49 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $120.23 | Professional | None | $85.11 | $85.11 | $120.23 |
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 $67.61 Median $151.36 Typical High $162.18 | Professional | None | $67.61 | $151.36 | $162.18 |
Health New England Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $501.19 | Facility | None | $154.88 | $169.82 | $501.19 |
Mass General Brigham Setting Professional Modifier None Typical Low $69.18 Median $181.97 Typical High $912.01 | Professional | None | $69.18 | $181.97 | $912.01 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $204.17 | Facility | None | $93.33 | $93.33 | $204.17 |
United Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $169.82 | Professional | None | $58.88 | $89.13 | $169.82 |
Well Sense Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $316.23 | Facility | None | $158.49 | $208.93 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None | $109.65 | $109.65 | $131.83 |
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 $38.90 Median $38.90 Typical High $177.83 | Professional | 52 · Reduced service | $38.90 | $38.90 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $70.79 | Professional | 53 · Discontinued | $15.49 | $15.49 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $53.70 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $35.48 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $35.48 |
Where Massachusetts sits
The same service costs 2.4 times more in Hawaii than in Colorado. 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· 14th of 51
$138
HI $204CO $85.11
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.