How much rates vary
Facilitymedian $60 · 10th to 90th $34 to $105Professionalmedian $39 · 10th to 90th $23 to $550
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 $23.44 Median $23.44 Typical High $107.15 | Facility | None | $23.44 | $23.44 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $107.15 | Professional | None | $23.44 | $23.44 | $107.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $165.96 | Facility | None | $51.29 | $57.54 | $165.96 |
AllWays Health Partners Setting Professional Modifier None Typical Low $23.99 Median $54.95 Typical High $549.54 | Professional | None | $23.99 | $54.95 | $549.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $53.70 Median $69.18 Typical High $93.33 | Facility | None | $53.70 | $69.18 | $93.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $44.67 | Professional | None | $34.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $38.90 | Facility | None | $30.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $39.81 | Professional | None | $28.84 | $28.84 | $39.81 |
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 $20.89 Median $45.71 Typical High $48.98 | Professional | None | $20.89 | $45.71 | $48.98 |
Health New England Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Health New England Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Mass General Brigham Setting Facility Modifier None Typical Low $51.29 Median $57.54 Typical High $165.96 | Facility | None | $51.29 | $57.54 | $165.96 |
Mass General Brigham Setting Professional Modifier None Typical Low $23.99 Median $54.95 Typical High $549.54 | Professional | None | $23.99 | $54.95 | $549.54 |
United Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $72.44 | Facility | None | $35.48 | $51.29 | $72.44 |
United Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $52.48 | Professional | None | $17.78 | $26.92 | $52.48 |
Well Sense Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $95.50 | Facility | None | $47.86 | $64.57 | $95.50 |
Well Sense Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | None | $34.67 | $34.67 | $41.69 |
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 $11.75 Median $11.75 Typical High $53.70 | Professional | 52 · Reduced service | $11.75 | $11.75 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $21.38 | Professional | 53 · Discontinued | $4.68 | $4.68 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $16.22 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $10.72 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $10.72 |
Where Massachusetts sits
The same service costs 4.7 times more in Hawaii than in Florida. 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· 19th of 51
$41.69
HI $132FL $28.18
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.