How much rates vary
Facilitymedian $1,259 · 10th to 90th $692 to $2,188Professionalmedian $741 · 10th to 90th $468 to $6,761
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 $478.63 Median $478.63 Typical High $2,187.76 | Facility | None | $478.63 | $478.63 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $2,187.76 | Professional | None | $478.63 | $478.63 | $2,187.76 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $3,467.37 | Facility | None | $1,047.13 | $1,071.52 | $3,467.37 |
AllWays Health Partners Setting Professional Modifier None Typical Low $467.74 Median $1,122.02 Typical High $6,760.83 | Professional | None | $467.74 | $1,122.02 | $6,760.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,905.46 | Facility | None | $1,122.02 | $1,412.54 | $1,905.46 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $912.01 | Professional | None | $724.44 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $741.31 Typical High $776.25 | Facility | None | $630.96 | $741.31 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
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 $426.58 Median $933.25 Typical High $1,000.00 | Professional | None | $426.58 | $933.25 | $1,000.00 |
Health New England Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $3,467.37 | Facility | None | $1,047.13 | $1,071.52 | $3,467.37 |
Mass General Brigham Setting Professional Modifier None Typical Low $467.74 Median $1,122.02 Typical High $6,760.83 | Professional | None | $467.74 | $1,122.02 | $6,760.83 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $1,412.54 | Facility | None | $645.65 | $691.83 | $1,412.54 |
United Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,071.52 | Professional | None | $363.08 | $549.54 | $1,071.52 |
Well Sense Setting Facility Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,949.84 | Facility | None | $977.24 | $1,288.25 | $1,949.84 |
Well Sense Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $851.14 | Professional | None | $707.95 | $707.95 | $851.14 |
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 $239.88 Median $239.88 Typical High $1,096.48 | Professional | 52 · Reduced service | $239.88 | $239.88 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $436.52 | Professional | 53 · Discontinued | $95.50 | $95.50 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $331.13 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $218.78 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $218.78 |
Where Massachusetts sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 17th of 51
$891
HI $1,622VT $537
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.