How much rates vary
Facilitymedian $912 · 10th to 90th $490 to $1,660Professionalmedian $525 · 10th to 90th $339 to $4,467
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 $389.05 Median $389.05 Typical High $1,778.28 | Facility | None | $389.05 | $389.05 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $1,778.28 | Professional | None | $389.05 | $389.05 | $1,778.28 |
AllWays Health Partners Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $2,187.76 | Facility | None | $691.83 | $851.14 | $2,187.76 |
AllWays Health Partners Setting Professional Modifier None Typical Low $338.84 Median $912.01 Typical High $4,466.84 | Professional | None | $338.84 | $912.01 | $4,466.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,548.82 | Facility | None | $912.01 | $1,148.15 | $1,548.82 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $512.86 | Facility | None | $457.09 | $457.09 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | None | $338.84 | $338.84 | $467.74 |
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 $309.03 Median $758.58 Typical High $812.83 | Professional | None | $309.03 | $758.58 | $812.83 |
Health New England Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Health New England Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $2,187.76 | Facility | None | $691.83 | $851.14 | $2,187.76 |
Mass General Brigham Setting Professional Modifier None Typical Low $338.84 Median $912.01 Typical High $4,466.84 | Professional | None | $338.84 | $912.01 | $4,466.84 |
United Setting Facility Modifier None Typical Low $407.38 Median $933.25 Typical High $933.25 | Facility | None | $407.38 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $870.96 | Professional | None | $295.12 | $446.68 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,380.38 | Facility | None | $691.83 | $933.25 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Professional | None | $549.54 | $549.54 | $660.69 |
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 $194.98 Median $194.98 Typical High $891.25 | Professional | 52 · Reduced service | $194.98 | $194.98 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $354.81 | Professional | 53 · Discontinued | $77.62 | $77.62 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $269.15 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $177.83 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $177.83 |
Where Massachusetts sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 13th of 51
$603
HI $871NH $339
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.