How much rates vary
Facilitymedian $316 · 10th to 90th $141 to $575Professionalmedian $209 · 10th to 90th $129 to $617
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 $134.90 Median $134.90 Typical High $616.60 | Facility | None | $134.90 | $134.90 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $616.60 | Professional | None | $134.90 | $134.90 | $616.60 |
AllWays Health Partners Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $758.58 | Facility | None | $251.19 | $295.12 | $758.58 |
AllWays Health Partners Setting Professional Modifier None Typical Low $120.23 Median $316.23 Typical High $1,905.46 | Professional | None | $120.23 | $316.23 | $1,905.46 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $309.03 Median $398.11 Typical High $537.03 | Facility | None | $309.03 | $398.11 | $537.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $354.81 | Professional | None | $181.97 | $208.93 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $190.55 | Facility | None | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | None | $128.82 | $128.82 | $177.83 |
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 $120.23 Median $263.03 Typical High $281.84 | Professional | None | $120.23 | $263.03 | $281.84 |
Health New England Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Health New England Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $758.58 | Facility | None | $251.19 | $295.12 | $758.58 |
Mass General Brigham Setting Professional Modifier None Typical Low $120.23 Median $316.23 Typical High $1,905.46 | Professional | None | $120.23 | $316.23 | $1,905.46 |
United Setting Facility Modifier None Typical Low $177.83 Median $186.21 Typical High $363.08 | Facility | None | $177.83 | $186.21 | $363.08 |
United Setting Professional Modifier None Typical Low $102.33 Median $154.88 Typical High $295.12 | Professional | None | $102.33 | $154.88 | $295.12 |
Well Sense Setting Facility Modifier None Typical Low $239.88 Median $316.23 Typical High $478.63 | Facility | None | $239.88 | $316.23 | $478.63 |
Well Sense Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | None | $190.55 | $190.55 | $229.09 |
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 $67.61 Median $67.61 Typical High $309.03 | Professional | 52 · Reduced service | $67.61 | $67.61 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $123.03 | Professional | 53 · Discontinued | $26.92 | $26.92 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $91.20 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $61.66 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $61.66 |
Where Massachusetts sits
The same service costs 3.5 times more in Hawaii than in Delaware. 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· 19th of 51
$209
HI $457DE $129
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.