How much rates vary
Facilitymedian $245 · 10th to 90th $132 to $692Professionalmedian $151 · 10th to 90th $98 to $3,467
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 $97.72 Median $97.72 Typical High $446.68 | Facility | None | $97.72 | $97.72 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $446.68 | Professional | None | $97.72 | $97.72 | $446.68 |
AllWays Health Partners Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $707.95 | Facility | None | $213.80 | $245.47 | $707.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $97.72 Median $229.09 Typical High $3,467.37 | Professional | None | $97.72 | $229.09 | $3,467.37 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $398.11 | Facility | None | $131.83 | $131.83 | $398.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | None | $147.91 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $141.25 Typical High $154.88 | Facility | None | $131.83 | $141.25 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | None | $102.33 | $102.33 | $144.54 |
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 $89.13 Median $190.55 Typical High $204.17 | Professional | None | $89.13 | $190.55 | $204.17 |
Health New England Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Mass General Brigham Setting Facility Modifier None Typical Low $213.80 Median $245.47 Typical High $707.95 | Facility | None | $213.80 | $245.47 | $707.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $97.72 Median $229.09 Typical High $3,467.37 | Professional | None | $97.72 | $229.09 | $3,467.37 |
United Setting Facility Modifier None Typical Low $151.36 Median $309.03 Typical High $389.05 | Facility | None | $151.36 | $309.03 | $389.05 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $218.78 | Professional | None | $75.86 | $112.20 | $218.78 |
Well Sense Setting Facility Modifier None Typical Low $204.17 Median $269.15 Typical High $398.11 | Facility | None | $204.17 | $269.15 | $398.11 |
Well Sense Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | None | $147.91 | $147.91 | $177.83 |
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 $48.98 Median $48.98 Typical High $223.87 | Professional | 52 · Reduced service | $48.98 | $48.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $91.20 | Professional | 53 · Discontinued | $19.95 | $19.95 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $67.61 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $44.67 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $44.67 |
Where Massachusetts sits
The same service costs 8.1 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
$174
HI $832DE $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.