How much rates vary
Facilitymedian $1,862 · 10th to 90th $977 to $3,311Professionalmedian $1,122 · 10th to 90th $603 to $13,183
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 $724.44 Median $724.44 Typical High $3,311.31 | Facility | None | $724.44 | $724.44 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $3,311.31 | Professional | None | $724.44 | $724.44 | $3,311.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $4,786.30 | Facility | None | $1,380.38 | $1,584.89 | $4,786.30 |
AllWays Health Partners Setting Professional Modifier None Typical Low $660.69 Median $1,698.24 Typical High $13,182.57 | Professional | None | $660.69 | $1,698.24 | $13,182.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,698.24 Median $2,187.76 Typical High $2,884.03 | Facility | None | $1,698.24 | $2,187.76 | $2,884.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $977.24 | Facility | None | $831.76 | $831.76 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $851.14 | Professional | None | $602.56 | $602.56 | $851.14 |
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 $588.84 Median $1,412.54 Typical High $1,513.56 | Professional | None | $588.84 | $1,412.54 | $1,513.56 |
Health New England Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $4,786.30 | Facility | None | $1,380.38 | $1,584.89 | $4,786.30 |
Mass General Brigham Setting Professional Modifier None Typical Low $660.69 Median $1,698.24 Typical High $13,182.57 | Professional | None | $660.69 | $1,698.24 | $13,182.57 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,778.28 | Facility | None | $870.96 | $1,348.96 | $1,778.28 |
United Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,621.81 | Professional | None | $562.34 | $831.76 | $1,621.81 |
Well Sense Setting Facility Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $2,951.21 | Facility | None | $1,513.56 | $2,041.74 | $2,951.21 |
Well Sense Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | None | $1,513.56 | $1,513.56 | $1,819.70 |
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 $363.08 Median $363.08 Typical High $1,659.59 | Professional | 52 · Reduced service | $363.08 | $363.08 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $676.08 | Professional | 53 · Discontinued | $144.54 | $144.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $501.19 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $331.13 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $331.13 |
Where Massachusetts sits
The same service costs 5.4 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· 12th of 51
$1,288
HI $3,236DE $603
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.