How much rates vary
Facilitymedian $2,630 · 10th to 90th $1,380 to $4,365Professionalmedian $1,549 · 10th to 90th $891 to $11,482
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 $1,047.13 Median $1,047.13 Typical High $4,786.30 | Facility | None | $1,047.13 | $1,047.13 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $4,786.30 | Professional | None | $1,047.13 | $1,047.13 | $4,786.30 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $6,760.83 | Facility | None | $1,778.28 | $2,238.72 | $6,760.83 |
AllWays Health Partners Setting Professional Modifier None Typical Low $891.25 Median $2,398.83 Typical High $11,481.54 | Professional | None | $891.25 | $2,398.83 | $11,481.54 |
BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $4,168.69 | Facility | None | $2,398.83 | $3,090.30 | $4,168.69 |
BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,548.82 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
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 $812.83 Median $2,041.74 Typical High $2,137.96 | Professional | None | $812.83 | $2,041.74 | $2,137.96 |
Health New England Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $6,760.83 | Facility | None | $1,778.28 | $2,238.72 | $6,760.83 |
Mass General Brigham Setting Professional Modifier None Typical Low $891.25 Median $2,398.83 Typical High $11,481.54 | Professional | None | $891.25 | $2,398.83 | $11,481.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,398.83 | Facility | None | $1,000.00 | $1,174.90 | $2,398.83 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $2,290.87 | Professional | None | $794.33 | $1,174.90 | $2,290.87 |
Well Sense Setting Facility Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $4,168.69 | Facility | None | $2,137.96 | $2,818.38 | $4,168.69 |
Well Sense Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,548.82 | $1,862.09 |
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 $524.81 Median $524.81 Typical High $2,398.83 | Professional | 52 · Reduced service | $524.81 | $524.81 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $954.99 | Professional | 53 · Discontinued | $208.93 | $208.93 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $707.95 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $478.63 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $478.63 |
Where Massachusetts sits
The same service costs 2.7 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· 7th of 51
$1,820
HI $2,630FL $977
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.