How much rates vary
Facilitymedian $724 · 10th to 90th $407 to $1,905Professionalmedian $501 · 10th to 90th $295 to $4,677
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 $338.84 Median $338.84 Typical High $1,548.82 | Facility | None | $338.84 | $338.84 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $1,548.82 | Professional | None | $338.84 | $338.84 | $1,548.82 |
AllWays Health Partners Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $1,905.46 | Facility | None | $602.56 | $724.44 | $1,905.46 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $776.25 Typical High $4,677.35 | Professional | None | $302.00 | $776.25 | $4,677.35 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $1,348.96 | Facility | None | $446.68 | $446.68 | $1,348.96 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $524.81 | Professional | None | $501.19 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $457.09 | Facility | None | $407.38 | $407.38 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $416.87 | Professional | None | $295.12 | $295.12 | $416.87 |
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 $295.12 Median $660.69 Typical High $691.83 | Professional | None | $295.12 | $660.69 | $691.83 |
Health New England Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Mass General Brigham Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $1,905.46 | Facility | None | $602.56 | $724.44 | $1,905.46 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $776.25 Typical High $4,677.35 | Professional | None | $302.00 | $776.25 | $4,677.35 |
United Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $891.25 | Facility | None | $436.52 | $891.25 | $891.25 |
United Setting Professional Modifier None Typical Low $257.04 Median $380.19 Typical High $758.58 | Professional | None | $257.04 | $380.19 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $1,174.90 | Facility | None | $602.56 | $794.33 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None | $478.63 | $478.63 | $575.44 |
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 $169.82 Median $169.82 Typical High $776.25 | Professional | 52 · Reduced service | $169.82 | $169.82 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $309.03 | Professional | 53 · Discontinued | $67.61 | $67.61 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $229.09 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $154.88 |
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· 17th of 51
$525
HI $1,122DE $316
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.