How much rates vary
Facilitymedian $324 · 10th to 90th $158 to $1,023Professionalmedian $219 · 10th to 90th $117 to $1,905
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 $147.91 Median $147.91 Typical High $676.08 | Facility | None | $147.91 | $147.91 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $676.08 | Professional | None | $147.91 | $147.91 | $676.08 |
AllWays Health Partners Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $1,047.13 | Facility | None | $245.47 | $323.59 | $1,047.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $128.82 Median $346.74 Typical High $1,905.46 | Professional | None | $128.82 | $346.74 | $1,905.46 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $588.84 | Facility | None | $194.98 | $194.98 | $588.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | None | $223.87 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $194.98 | Facility | None | $158.49 | $158.49 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | None | $117.49 | $117.49 | $162.18 |
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 $114.82 Median $288.40 Typical High $309.03 | Professional | None | $114.82 | $288.40 | $309.03 |
Health New England Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $1,047.13 | Facility | None | $245.47 | $323.59 | $1,047.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $128.82 Median $346.74 Typical High $1,905.46 | Professional | None | $128.82 | $346.74 | $1,905.46 |
United Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $346.74 | Facility | None | $141.25 | $169.82 | $346.74 |
United Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $323.59 | Professional | None | $112.20 | $169.82 | $323.59 |
Well Sense Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $602.56 | Facility | None | $302.00 | $398.11 | $602.56 |
Well Sense Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | None | $218.78 | $218.78 | $263.03 |
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 $74.13 Median $74.13 Typical High $338.84 | Professional | 52 · Reduced service | $74.13 | $74.13 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $134.90 | Professional | 53 · Discontinued | $29.51 | $29.51 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $102.33 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $67.61 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $67.61 |
Where Massachusetts sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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
$240
HI $468KS $107
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.