How much rates vary
Facilitymedian $1,230 · 10th to 90th $692 to $2,138Professionalmedian $741 · 10th to 90th $468 to $7,079
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 $489.78 Median $489.78 Typical High $2,238.72 | Facility | None | $489.78 | $489.78 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $2,238.72 | Professional | None | $489.78 | $489.78 | $2,238.72 |
AllWays Health Partners Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $2,818.38 | Facility | None | $933.25 | $1,096.48 | $2,818.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $467.74 Median $1,148.15 Typical High $7,079.46 | Professional | None | $467.74 | $1,148.15 | $7,079.46 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $1,949.84 | Facility | None | $1,148.15 | $1,479.11 | $1,949.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $831.76 | Professional | None | $741.31 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $707.95 Typical High $776.25 | Facility | None | $660.69 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
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 $446.68 Median $954.99 Typical High $1,023.29 | Professional | None | $446.68 | $954.99 | $1,023.29 |
Health New England Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Mass General Brigham Setting Facility Modifier None Typical Low $933.25 Median $1,096.48 Typical High $2,818.38 | Facility | None | $933.25 | $1,096.48 | $2,818.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $467.74 Median $1,148.15 Typical High $7,079.46 | Professional | None | $467.74 | $1,148.15 | $7,079.46 |
United Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $1,412.54 | Facility | None | $478.63 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $1,096.48 | Professional | None | $380.19 | $562.34 | $1,096.48 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,737.80 | Facility | None | $891.25 | $1,174.90 | $1,737.80 |
Well Sense Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | None | $691.83 | $691.83 | $831.76 |
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 $245.47 Median $245.47 Typical High $1,122.02 | Professional | 52 · Reduced service | $245.47 | $245.47 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $457.09 | Professional | 53 · Discontinued | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $338.84 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $223.87 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $223.87 |
Where Massachusetts sits
The same service costs 3.4 times more in Hawaii than in Mississippi. 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· 17th of 51
$832
HI $1,738MS $513
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.