How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,047 to $3,715Professionalmedian $1,202 · 10th to 90th $646 to $8,318
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 $794.33 Median $794.33 Typical High $3,630.78 | Facility | None | $794.33 | $794.33 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $3,630.78 | Professional | None | $794.33 | $794.33 | $3,630.78 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $5,128.61 | Facility | None | $1,445.44 | $1,737.80 | $5,128.61 |
AllWays Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,862.09 Typical High $8,317.64 | Professional | None | $691.83 | $1,862.09 | $8,317.64 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,862.09 Median $2,344.23 Typical High $3,162.28 | Facility | None | $1,862.09 | $2,344.23 | $3,162.28 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,047.13 | Facility | None | $891.25 | $891.25 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
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 $616.60 Median $1,548.82 Typical High $1,659.59 | Professional | None | $616.60 | $1,548.82 | $1,659.59 |
Health New England Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $5,128.61 | Facility | None | $1,445.44 | $1,737.80 | $5,128.61 |
Mass General Brigham Setting Professional Modifier None Typical Low $691.83 Median $1,862.09 Typical High $8,317.64 | Professional | None | $691.83 | $1,862.09 | $8,317.64 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,862.09 | Facility | None | $851.14 | $870.96 | $1,862.09 |
United Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,778.28 | Professional | None | $602.56 | $912.01 | $1,778.28 |
Well Sense Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $3,235.94 | Facility | None | $1,621.81 | $2,187.76 | $3,235.94 |
Well Sense Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,445.44 | Professional | None | $1,202.26 | $1,202.26 | $1,445.44 |
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 $398.11 Median $398.11 Typical High $1,819.70 | Professional | 52 · Reduced service | $398.11 | $398.11 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $724.44 | Professional | 53 · Discontinued | $158.49 | $158.49 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $549.54 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $363.08 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $363.08 |
Where Massachusetts sits
The same service costs 3.0 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· 8th of 51
$1,413
HI $1,905DE $646
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.