How much rates vary
Facilitymedian $339 · 10th to 90th $209 to $871Professionalmedian $234 · 10th to 90th $138 to $2,188
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 $154.88 Median $154.88 Typical High $707.95 | Facility | None | $154.88 | $154.88 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $707.95 | Professional | None | $154.88 | $154.88 | $707.95 |
AllWays Health Partners Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $870.96 | Facility | None | $281.84 | $338.84 | $870.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $138.04 Median $363.08 Typical High $2,187.76 | Professional | None | $138.04 | $363.08 | $2,187.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $630.96 | Facility | None | $208.93 | $208.93 | $630.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $239.88 | Professional | None | $234.42 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $218.78 Typical High $234.42 | Facility | None | $208.93 | $218.78 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $223.87 | Professional | None | $158.49 | $158.49 | $223.87 |
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 $134.90 Median $302.00 Typical High $323.59 | Professional | None | $134.90 | $302.00 | $323.59 |
Health New England Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $870.96 | Facility | None | $281.84 | $338.84 | $870.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $138.04 Median $363.08 Typical High $2,187.76 | Professional | None | $138.04 | $363.08 | $2,187.76 |
United Setting Facility Modifier None Typical Low $199.53 Median $204.17 Typical High $407.38 | Facility | None | $199.53 | $204.17 | $407.38 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $346.74 | Professional | None | $117.49 | $177.83 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $281.84 Median $380.19 Typical High $549.54 | Facility | None | $281.84 | $380.19 | $549.54 |
Well Sense Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
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 $77.62 Median $77.62 Typical High $354.81 | Professional | 52 · Reduced service | $77.62 | $77.62 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $141.25 | Professional | 53 · Discontinued | $30.90 | $30.90 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $107.15 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $70.79 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $70.79 |
Where Massachusetts sits
The same service costs 3.3 times more in Hawaii than in West Virginia. 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· 16th of 51
$240
HI $525WV $158
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.