How much rates vary
Facilitymedian $1,318 · 10th to 90th $676 to $2,754Professionalmedian $759 · 10th to 90th $417 to $5,370
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 $512.86 Median $512.86 Typical High $2,344.23 | Facility | None | $512.86 | $512.86 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $2,344.23 | Professional | None | $512.86 | $512.86 | $2,344.23 |
AllWays Health Partners Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $3,311.31 | Facility | None | $912.01 | $1,096.48 | $3,311.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $436.52 Median $1,202.26 Typical High $5,370.32 | Professional | None | $436.52 | $1,202.26 | $5,370.32 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,174.90 Median $1,513.56 Typical High $2,041.74 | Facility | None | $1,174.90 | $1,513.56 | $2,041.74 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,047.13 | Professional | None | $831.76 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $676.08 | Facility | None | $562.34 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $575.44 | Professional | None | $416.87 | $416.87 | $575.44 |
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 $398.11 Median $1,000.00 Typical High $1,047.13 | Professional | None | $398.11 | $1,000.00 | $1,047.13 |
Health New England Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Mass General Brigham Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $3,311.31 | Facility | None | $912.01 | $1,096.48 | $3,311.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $436.52 Median $1,202.26 Typical High $5,370.32 | Professional | None | $436.52 | $1,202.26 | $5,370.32 |
United Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $1,202.26 | Facility | None | $549.54 | $660.69 | $1,202.26 |
United Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $1,122.02 | Professional | None | $389.05 | $575.44 | $1,122.02 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,047.13 | $1,412.54 | $2,041.74 |
Well Sense Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | None | $758.58 | $758.58 | $912.01 |
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 $257.04 Median $257.04 Typical High $1,174.90 | Professional | 52 · Reduced service | $257.04 | $257.04 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $467.74 | Professional | 53 · Discontinued | $102.33 | $102.33 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $346.74 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $234.42 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $234.42 |
Where Massachusetts sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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· 6th of 51
$912
HI $1,230KS $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.