How much rates vary
Facilitymedian $170 · 10th to 90th $102 to $575Professionalmedian $115 · 10th to 90th $66 to $1,445
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 $77.62 Median $77.62 Typical High $354.81 | Facility | None | $77.62 | $77.62 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $354.81 | Professional | None | $77.62 | $77.62 | $354.81 |
AllWays Health Partners Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $549.54 | Facility | None | $131.83 | $169.82 | $549.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $66.07 Median $181.97 Typical High $1,445.44 | Professional | None | $66.07 | $181.97 | $1,445.44 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $309.03 | Facility | None | $102.33 | $102.33 | $309.03 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $144.54 | Professional | None | $114.82 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $117.49 | Facility | None | $102.33 | $107.15 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $107.15 | Professional | None | $77.62 | $77.62 | $107.15 |
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 $60.26 Median $151.36 Typical High $162.18 | Professional | None | $60.26 | $151.36 | $162.18 |
Health New England Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Mass General Brigham Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $549.54 | Facility | None | $131.83 | $169.82 | $549.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $66.07 Median $181.97 Typical High $1,445.44 | Professional | None | $66.07 | $181.97 | $1,445.44 |
United Setting Facility Modifier None Typical Low $89.13 Median $181.97 Typical High $870.96 | Facility | None | $89.13 | $181.97 | $870.96 |
United Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $169.82 | Professional | None | $58.88 | $89.13 | $169.82 |
Well Sense Setting Facility Modifier None Typical Low $158.49 Median $213.80 Typical High $316.23 | Facility | None | $158.49 | $213.80 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | None | $114.82 | $114.82 | $138.04 |
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 $38.90 Median $38.90 Typical High $177.83 | Professional | 52 · Reduced service | $38.90 | $38.90 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $70.79 | Professional | 53 · Discontinued | $15.49 | $15.49 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $52.48 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $35.48 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $35.48 |
Where Massachusetts sits
The same service costs 5.1 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· 11th of 51
$129
HI $355FL $69.18
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.