How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,318 to $5,129Professionalmedian $1,820 · 10th to 90th $955 to $13,490
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 $1,230.27 Median $1,230.27 Typical High $5,623.41 | Facility | None | $1,230.27 | $1,230.27 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $5,623.41 | Professional | None | $1,230.27 | $1,230.27 | $5,623.41 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $7,943.28 | Facility | None | $2,187.76 | $2,630.27 | $7,943.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,047.13 Median $2,818.38 Typical High $13,489.63 | Professional | None | $1,047.13 | $2,818.38 | $13,489.63 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,818.38 Median $3,630.78 Typical High $4,897.79 | Facility | None | $2,818.38 | $3,630.78 | $4,897.79 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,995.26 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,318.26 | $1,318.26 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
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 $954.99 Median $2,344.23 Typical High $2,511.89 | Professional | None | $954.99 | $2,344.23 | $2,511.89 |
Health New England Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $7,943.28 | Facility | None | $2,187.76 | $2,630.27 | $7,943.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,047.13 Median $2,818.38 Typical High $13,489.63 | Professional | None | $1,047.13 | $2,818.38 | $13,489.63 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,818.38 | Facility | None | $1,122.02 | $1,258.93 | $2,818.38 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,691.53 | Professional | None | $933.25 | $1,380.38 | $2,691.53 |
Well Sense Setting Facility Modifier None Typical Low $2,511.89 Median $3,311.31 Typical High $4,897.79 | Facility | None | $2,511.89 | $3,311.31 | $4,897.79 |
Well Sense Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,819.70 | $1,819.70 | $2,187.76 |
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 $602.56 Median $602.56 Typical High $2,754.23 | Professional | 52 · Reduced service | $602.56 | $602.56 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $1,122.02 | Professional | 53 · Discontinued | $245.47 | $245.47 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $831.76 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $562.34 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $562.34 |
Where Massachusetts sits
The same service costs 2.9 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· 9th of 51
$2,138
HI $2,754DE $955
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.