How much rates vary
Facilitymedian $1,585 · 10th to 90th $851 to $2,754Professionalmedian $1,000 · 10th to 90th $603 to $13,183
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 $602.56 Median $602.56 Typical High $2,754.23 | Facility | None | $602.56 | $602.56 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $2,754.23 | Professional | None | $602.56 | $602.56 | $2,754.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $3,890.45 | Facility | None | $1,288.25 | $1,445.44 | $3,890.45 |
AllWays Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $13,182.57 | Professional | None | $616.60 | $1,412.54 | $13,182.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,380.38 Median $1,778.28 Typical High $2,398.83 | Facility | None | $1,380.38 | $1,778.28 | $2,398.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $891.25 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $912.01 | Facility | None | $741.31 | $851.14 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
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 $537.03 Median $1,174.90 Typical High $1,258.93 | Professional | None | $537.03 | $1,174.90 | $1,258.93 |
Health New England Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $3,890.45 | Facility | None | $1,288.25 | $1,445.44 | $3,890.45 |
Mass General Brigham Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $13,182.57 | Professional | None | $616.60 | $1,412.54 | $13,182.57 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,862.09 | Facility | None | $912.01 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,348.96 | Professional | None | $457.09 | $691.83 | $1,348.96 |
Well Sense Setting Facility Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,454.71 | Facility | None | $1,230.27 | $1,621.81 | $2,454.71 |
Well Sense Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | None | $891.25 | $891.25 | $1,071.52 |
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 $302.00 Median $302.00 Typical High $1,380.38 | Professional | 52 · Reduced service | $302.00 | $302.00 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $549.54 | Professional | 53 · Discontinued | $120.23 | $120.23 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $407.38 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $275.42 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $275.42 |
Where Massachusetts sits
The same service costs 5.1 times more in Hawaii than in Delaware. 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· 19th of 51
$1,072
HI $3,236DE $631
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.