How much rates vary
Facilitymedian $631 · 10th to 90th $427 to $1,148Professionalmedian $372 · 10th to 90th $229 to $1,318
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 $239.88 Median $239.88 Typical High $1,096.48 | Facility | None | $239.88 | $239.88 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $1,096.48 | Professional | None | $239.88 | $239.88 | $1,096.48 |
AllWays Health Partners Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $1,348.96 | Facility | None | $467.74 | $524.81 | $1,348.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $229.09 Median $562.34 Typical High $2,884.03 | Professional | None | $229.09 | $562.34 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $616.60 Median $724.44 Typical High $954.99 | Facility | None | $616.60 | $724.44 | $954.99 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $645.65 | Professional | None | $363.08 | $371.54 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
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 $213.80 Median $467.74 Typical High $501.19 | Professional | None | $213.80 | $467.74 | $501.19 |
Health New England Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | None | $295.12 | $316.23 | $316.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $467.74 Median $524.81 Typical High $1,348.96 | Facility | None | $467.74 | $524.81 | $1,348.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $229.09 Median $562.34 Typical High $2,884.03 | Professional | None | $229.09 | $562.34 | $2,884.03 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $537.03 | Professional | None | $181.97 | $275.42 | $537.03 |
Well Sense Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $851.14 | Facility | None | $426.58 | $575.44 | $851.14 |
Well Sense Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | None | $338.84 | $338.84 | $407.38 |
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 $120.23 Median $120.23 Typical High $549.54 | Professional | 52 · Reduced service | $120.23 | $120.23 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $218.78 | Professional | 53 · Discontinued | $47.86 | $47.86 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $165.96 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $109.65 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $109.65 |
Where Massachusetts sits
The same service costs 2.6 times more in Montana 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· 17th of 51
$427
MT $589DE $229
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.