How much rates vary
Facilitymedian $316 · 10th to 90th $191 to $851Professionalmedian $214 · 10th to 90th $129 to $1,479
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 $151.36 Median $151.36 Typical High $691.83 | Facility | None | $151.36 | $151.36 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $691.83 | Professional | None | $151.36 | $151.36 | $691.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $851.14 | Facility | None | $251.19 | $295.12 | $851.14 |
AllWays Health Partners Setting Professional Modifier None Typical Low $128.82 Median $354.81 Typical High $1,479.11 | Professional | None | $128.82 | $354.81 | $1,479.11 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $602.56 | Facility | None | $199.53 | $199.53 | $602.56 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $251.19 | Professional | None | $223.87 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $213.80 | Facility | None | $190.55 | $190.55 | $213.80 |
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 $117.49 Median $295.12 Typical High $316.23 | Professional | None | $117.49 | $295.12 | $316.23 |
Health New England Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $851.14 | Facility | None | $251.19 | $295.12 | $851.14 |
Mass General Brigham Setting Professional Modifier None Typical Low $128.82 Median $354.81 Typical High $1,479.11 | Professional | None | $128.82 | $354.81 | $1,479.11 |
United Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $354.81 | Facility | None | $147.91 | $151.36 | $354.81 |
United Setting Professional Modifier None Typical Low $114.82 Median $173.78 Typical High $331.13 | Professional | None | $114.82 | $173.78 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $537.03 | Facility | None | $269.15 | $363.08 | $537.03 |
Well Sense Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | None | $213.80 | $213.80 | $257.04 |
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 $75.86 Median $75.86 Typical High $346.74 | Professional | 52 · Reduced service | $75.86 | $75.86 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $138.04 | Professional | 53 · Discontinued | $30.20 | $30.20 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $102.33 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $69.18 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $69.18 |
Where Massachusetts sits
The same service costs 2.3 times more in Hawaii than in New Jersey. 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· 10th of 51
$245
HI $324NJ $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.