How much rates vary
Facilitymedian $1,096 · 10th to 90th $617 to $1,950Professionalmedian $692 · 10th to 90th $398 to $5,248
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 $467.74 Median $467.74 Typical High $2,137.96 | Facility | None | $467.74 | $467.74 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $2,137.96 | Professional | None | $467.74 | $467.74 | $2,137.96 |
AllWays Health Partners Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $3,019.95 | Facility | None | $831.76 | $1,023.29 | $3,019.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $398.11 Median $1,096.48 Typical High $5,248.07 | Professional | None | $398.11 | $1,096.48 | $5,248.07 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $1,862.09 | Facility | None | $1,071.52 | $1,380.38 | $1,862.09 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $977.24 | Professional | None | $776.25 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Facility | None | $549.54 | $549.54 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
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 $363.08 Median $912.01 Typical High $977.24 | Professional | None | $363.08 | $912.01 | $977.24 |
Health New England Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Health New England Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Mass General Brigham Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $3,019.95 | Facility | None | $831.76 | $1,023.29 | $3,019.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $398.11 Median $1,096.48 Typical High $5,248.07 | Professional | None | $398.11 | $1,096.48 | $5,248.07 |
United Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $1,096.48 | Facility | None | $331.13 | $436.52 | $1,096.48 |
United Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,047.13 | Professional | None | $354.81 | $537.03 | $1,047.13 |
Well Sense Setting Facility Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,905.46 | Facility | None | $954.99 | $1,288.25 | $1,905.46 |
Well Sense Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | None | $691.83 | $691.83 | $831.76 |
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 $234.42 Median $234.42 Typical High $1,071.52 | Professional | 52 · Reduced service | $234.42 | $234.42 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $426.58 | Professional | 53 · Discontinued | $93.33 | $93.33 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $323.59 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $213.80 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $213.80 |
Where Massachusetts sits
The same service costs 2.4 times more in Iowa 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· 6th of 51
$813
IA $955DE $398
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.