How much rates vary
Facilitymedian $550 · 10th to 90th $339 to $1,660Professionalmedian $380 · 10th to 90th $234 to $3,715
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 $257.04 Median $257.04 Typical High $1,174.90 | Facility | None | $257.04 | $257.04 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $1,174.90 | Professional | None | $257.04 | $257.04 | $1,174.90 |
AllWays Health Partners Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $1,659.59 | Facility | None | $489.78 | $549.54 | $1,659.59 |
AllWays Health Partners Setting Professional Modifier None Typical Low $229.09 Median $588.84 Typical High $3,715.35 | Professional | None | $229.09 | $588.84 | $3,715.35 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $1,023.29 | Facility | None | $338.84 | $338.84 | $1,023.29 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | None | $380.19 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $371.54 Typical High $398.11 | Facility | None | $338.84 | $371.54 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
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 $229.09 Median $501.19 Typical High $524.81 | Professional | None | $229.09 | $501.19 | $524.81 |
Health New England Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Mass General Brigham Setting Facility Modifier None Typical Low $489.78 Median $549.54 Typical High $1,659.59 | Facility | None | $489.78 | $549.54 | $1,659.59 |
Mass General Brigham Setting Professional Modifier None Typical Low $229.09 Median $588.84 Typical High $3,715.35 | Professional | None | $229.09 | $588.84 | $3,715.35 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $707.95 | Facility | None | $346.74 | $346.74 | $707.95 |
United Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $575.44 | Professional | None | $194.98 | $288.40 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,023.29 | Facility | None | $524.81 | $691.83 | $1,023.29 |
Well Sense Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None | $380.19 | $380.19 | $457.09 |
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 $128.82 Median $128.82 Typical High $588.84 | Professional | 52 · Reduced service | $128.82 | $128.82 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $234.42 | Professional | 53 · Discontinued | $51.29 | $51.29 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $173.78 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $117.49 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $117.49 |
Where Massachusetts sits
The same service costs 4.5 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· 16th of 51
$427
HI $912KS $204
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.