How much rates vary
Facilitymedian $1,738 · 10th to 90th $1,148 to $3,020Professionalmedian $1,122 · 10th to 90th $661 to $13,490
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 $660.69 Median $660.69 Typical High $3,019.95 | Facility | None | $660.69 | $660.69 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $3,019.95 | Professional | None | $660.69 | $660.69 | $3,019.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $4,265.80 | Facility | None | $1,380.38 | $1,548.82 | $4,265.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $676.08 Median $1,548.82 Typical High $13,489.63 | Professional | None | $676.08 | $1,548.82 | $13,489.63 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,630.27 | Facility | None | $1,548.82 | $1,949.84 | $2,630.27 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,000.00 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,148.15 Typical High $1,148.15 | Facility | None | $870.96 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,174.90 | Professional | None | $831.76 | $831.76 | $1,174.90 |
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 $588.84 Median $1,288.25 Typical High $1,380.38 | Professional | None | $588.84 | $1,288.25 | $1,380.38 |
Health New England Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $4,265.80 | Facility | None | $1,380.38 | $1,548.82 | $4,265.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $676.08 Median $1,548.82 Typical High $13,489.63 | Professional | None | $676.08 | $1,548.82 | $13,489.63 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $2,041.74 | Facility | None | $1,000.00 | $1,258.93 | $2,041.74 |
United Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,479.11 | Professional | None | $501.19 | $758.58 | $1,479.11 |
Well Sense Setting Facility Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $2,691.53 | Facility | None | $1,348.96 | $1,819.70 | $2,691.53 |
Well Sense Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Professional | None | $1,000.00 | $1,000.00 | $1,174.90 |
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 $331.13 Median $331.13 Typical High $1,513.56 | Professional | 52 · Reduced service | $331.13 | $331.13 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $602.56 | Professional | 53 · Discontinued | $131.83 | $131.83 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $457.09 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $302.00 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $302.00 |
Where Massachusetts sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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· 18th of 51
$1,175
HI $3,236WV $832
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.