How much rates vary
Facilitymedian $871 · 10th to 90th $513 to $2,570Professionalmedian $603 · 10th to 90th $372 to $5,370
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 $398.11 Median $398.11 Typical High $1,819.70 | Facility | None | $398.11 | $398.11 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,819.70 | Professional | None | $398.11 | $398.11 | $1,819.70 |
AllWays Health Partners Setting Facility Modifier None Typical Low $812.83 Median $870.96 Typical High $2,570.40 | Facility | None | $812.83 | $870.96 | $2,570.40 |
AllWays Health Partners Setting Professional Modifier None Typical Low $371.54 Median $933.25 Typical High $5,370.32 | Professional | None | $371.54 | $933.25 | $5,370.32 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,584.89 | Facility | None | $524.81 | $524.81 | $1,584.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $707.95 | Professional | None | $602.56 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Facility | None | $512.86 | $512.86 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
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 $354.81 Median $776.25 Typical High $831.76 | Professional | None | $354.81 | $776.25 | $831.76 |
Health New England Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $812.83 Median $870.96 Typical High $2,570.40 | Facility | None | $812.83 | $870.96 | $2,570.40 |
Mass General Brigham Setting Professional Modifier None Typical Low $371.54 Median $933.25 Typical High $5,370.32 | Professional | None | $371.54 | $933.25 | $5,370.32 |
United Setting Facility Modifier None Typical Low $478.63 Median $549.54 Typical High $1,122.02 | Facility | None | $478.63 | $549.54 | $1,122.02 |
United Setting Professional Modifier None Typical Low $302.00 Median $457.09 Typical High $891.25 | Professional | None | $302.00 | $457.09 | $891.25 |
Well Sense Setting Facility Modifier None Typical Low $812.83 Median $1,096.48 Typical High $1,621.81 | Facility | None | $812.83 | $1,096.48 | $1,621.81 |
Well Sense Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $707.95 | Professional | None | $588.84 | $588.84 | $707.95 |
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 $199.53 Median $199.53 Typical High $912.01 | Professional | 52 · Reduced service | $199.53 | $199.53 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $363.08 | Professional | 53 · Discontinued | $79.43 | $79.43 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $275.42 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $181.97 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $181.97 |
Where Massachusetts sits
The same service costs 3.2 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
$692
HI $1,202DE $372
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.