How much rates vary
Facilitymedian $389 · 10th to 90th $219 to $1,047Professionalmedian $269 · 10th to 90th $158 to $2,188
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 $186.21 Median $186.21 Typical High $851.14 | Facility | None | $186.21 | $186.21 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $851.14 | Professional | None | $186.21 | $186.21 | $851.14 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $407.38 Typical High $1,047.13 | Facility | None | $331.13 | $407.38 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $165.96 Median $436.52 Typical High $2,187.76 | Professional | None | $165.96 | $436.52 | $2,187.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $741.31 | Facility | None | $245.47 | $245.47 | $741.31 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | None | $275.42 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
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 $151.36 Median $363.08 Typical High $380.19 | Professional | None | $151.36 | $363.08 | $380.19 |
Health New England Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $407.38 Typical High $1,047.13 | Facility | None | $331.13 | $407.38 | $1,047.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $165.96 Median $436.52 Typical High $2,187.76 | Professional | None | $165.96 | $436.52 | $2,187.76 |
United Setting Facility Modifier None Typical Low $36.31 Median $169.82 Typical High $457.09 | Facility | None | $36.31 | $169.82 | $457.09 |
United Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $416.87 | Professional | None | $141.25 | $208.93 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $660.69 | Facility | None | $331.13 | $436.52 | $660.69 |
Well Sense Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | None | $263.03 | $263.03 | $316.23 |
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 $93.33 Median $93.33 Typical High $426.58 | Professional | 52 · Reduced service | $93.33 | $93.33 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $169.82 | Professional | 53 · Discontinued | $37.15 | $37.15 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $27.54 Typical High $125.89 | Professional | 55 · Aftercare only | $27.54 | $27.54 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $85.11 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $85.11 |
Where Massachusetts sits
The same service costs 3.6 times more in Georgia than in Alaska. 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· 13th of 51
$302
GA $372AK $102
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.