How much rates vary
Facilitymedian $437 · 10th to 90th $229 to $1,288Professionalmedian $282 · 10th to 90th $158 to $2,884
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 $199.53 Median $199.53 Typical High $912.01 | Facility | None | $199.53 | $199.53 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $912.01 | Professional | None | $199.53 | $199.53 | $912.01 |
AllWays Health Partners Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $1,288.25 | Facility | None | $331.13 | $436.52 | $1,288.25 |
AllWays Health Partners Setting Professional Modifier None Typical Low $173.78 Median $467.74 Typical High $2,884.03 | Professional | None | $173.78 | $467.74 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $812.83 | Facility | None | $269.15 | $269.15 | $812.83 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | None | $302.00 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $269.15 | Facility | None | $213.80 | $213.80 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
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 $154.88 Median $389.05 Typical High $416.87 | Professional | None | $154.88 | $389.05 | $416.87 |
Health New England Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Mass General Brigham Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $1,288.25 | Facility | None | $331.13 | $436.52 | $1,288.25 |
Mass General Brigham Setting Professional Modifier None Typical Low $173.78 Median $467.74 Typical High $2,884.03 | Professional | None | $173.78 | $467.74 | $2,884.03 |
United Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $467.74 | Facility | None | $229.09 | $257.04 | $467.74 |
United Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $446.68 | Professional | None | $154.88 | $229.09 | $446.68 |
Well Sense Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $812.83 | Facility | None | $407.38 | $549.54 | $812.83 |
Well Sense Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $363.08 | Professional | None | $302.00 | $302.00 | $363.08 |
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 $100.00 Median $100.00 Typical High $457.09 | Professional | 52 · Reduced service | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $181.97 | Professional | 53 · Discontinued | $39.81 | $39.81 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $138.04 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $91.20 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $91.20 |
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· 11th of 51
$324
HI $692FL $158
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.