How much rates vary
Facilitymedian $1,778 · 10th to 90th $977 to $3,162Professionalmedian $1,047 · 10th to 90th $617 to $10,000
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 $691.83 Median $691.83 Typical High $3,162.28 | Facility | None | $691.83 | $691.83 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $3,162.28 | Professional | None | $691.83 | $691.83 | $3,162.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,258.93 | $1,513.56 | $4,466.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $616.60 Median $1,621.81 Typical High $10,000.00 | Professional | None | $616.60 | $1,621.81 | $10,000.00 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,754.23 | Facility | None | $1,621.81 | $2,041.74 | $2,754.23 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,122.02 | Facility | None | $933.25 | $1,047.13 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,071.52 | Professional | None | $776.25 | $776.25 | $1,071.52 |
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 $575.44 Median $1,348.96 Typical High $1,445.44 | Professional | None | $575.44 | $1,348.96 | $1,445.44 |
Health New England Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $4,466.84 | Facility | None | $1,258.93 | $1,513.56 | $4,466.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $616.60 Median $1,621.81 Typical High $10,000.00 | Professional | None | $616.60 | $1,621.81 | $10,000.00 |
United Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,737.80 | Facility | None | $851.14 | $977.24 | $1,737.80 |
United Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,548.82 | Professional | None | $537.03 | $794.33 | $1,548.82 |
Well Sense Setting Facility Modifier None Typical Low $1,412.54 Median $1,905.46 Typical High $2,818.38 | Facility | None | $1,412.54 | $1,905.46 | $2,818.38 |
Well Sense Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,047.13 | $1,047.13 | $1,258.93 |
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 $346.74 Median $346.74 Typical High $1,584.89 | Professional | 52 · Reduced service | $346.74 | $346.74 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $630.96 | Professional | 53 · Discontinued | $138.04 | $138.04 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $478.63 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $316.23 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $316.23 |
Where Massachusetts sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 11th of 51
$1,230
HI $2,399FL $676
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.