How much rates vary
Facilitymedian $240 · 10th to 90th $135 to $708Professionalmedian $166 · 10th to 90th $100 to $2,188
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 $100.00 Median $100.00 Typical High $457.09 | Facility | None | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $457.09 | Professional | None | $100.00 | $100.00 | $457.09 |
AllWays Health Partners Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $724.44 | Facility | None | $218.78 | $239.88 | $724.44 |
AllWays Health Partners Setting Professional Modifier None Typical Low $100.00 Median $234.42 Typical High $2,187.76 | Professional | None | $100.00 | $234.42 | $2,187.76 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $407.38 | Facility | None | $134.90 | $134.90 | $407.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $151.36 Median $190.55 Typical High $190.55 | Professional | None | $151.36 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $165.96 | Facility | None | $134.90 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $169.82 | Professional | None | $120.23 | $120.23 | $169.82 |
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 $91.20 Median $194.98 Typical High $208.93 | Professional | None | $91.20 | $194.98 | $208.93 |
Health New England Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Mass General Brigham Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $724.44 | Facility | None | $218.78 | $239.88 | $724.44 |
Mass General Brigham Setting Professional Modifier None Typical Low $100.00 Median $234.42 Typical High $2,187.76 | Professional | None | $100.00 | $234.42 | $2,187.76 |
United Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $316.23 | Facility | None | $154.88 | $213.80 | $316.23 |
United Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $223.87 | Professional | None | $77.62 | $114.82 | $223.87 |
Well Sense Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $407.38 | Facility | None | $208.93 | $275.42 | $407.38 |
Well Sense Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | None | $151.36 | $151.36 | $181.97 |
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 $50.12 Median $50.12 Typical High $229.09 | Professional | 52 · Reduced service | $50.12 | $50.12 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $93.33 | Professional | 53 · Discontinued | $20.42 | $20.42 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $69.18 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $45.71 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $45.71 |
Where Massachusetts sits
The same service costs 4.4 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· 18th of 51
$178
HI $525FL $120
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.