How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,175 to $4,074Professionalmedian $1,445 · 10th to 90th $851 to $12,882
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 $954.99 Median $954.99 Typical High $4,365.16 | Facility | None | $954.99 | $954.99 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $4,365.16 | Professional | None | $954.99 | $954.99 | $4,365.16 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $6,165.95 | Facility | None | $1,949.84 | $2,089.30 | $6,165.95 |
AllWays Health Partners Setting Professional Modifier None Typical Low $851.14 Median $2,238.72 Typical High $12,882.50 | Professional | None | $851.14 | $2,238.72 | $12,882.50 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,801.89 | Facility | None | $2,238.72 | $2,818.38 | $3,801.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,202.26 | Professional | None | $851.14 | $851.14 | $1,202.26 |
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 $831.76 Median $1,862.09 Typical High $1,995.26 | Professional | None | $831.76 | $1,862.09 | $1,995.26 |
Health New England Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $6,165.95 | Facility | None | $1,949.84 | $2,089.30 | $6,165.95 |
Mass General Brigham Setting Professional Modifier None Typical Low $851.14 Median $2,238.72 Typical High $12,882.50 | Professional | None | $851.14 | $2,238.72 | $12,882.50 |
United Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $2,570.40 | Facility | None | $870.96 | $933.25 | $2,570.40 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $2,137.96 | Professional | None | $724.44 | $1,096.48 | $2,137.96 |
Well Sense Setting Facility Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $3,890.45 | Facility | None | $1,949.84 | $2,630.27 | $3,890.45 |
Well Sense Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,737.80 | Professional | None | $1,445.44 | $1,445.44 | $1,737.80 |
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 $478.63 Median $478.63 Typical High $2,187.76 | Professional | 52 · Reduced service | $478.63 | $478.63 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $870.96 | Professional | 53 · Discontinued | $190.55 | $190.55 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $660.69 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $436.52 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $436.52 |
Where Massachusetts sits
The same service costs 3.0 times more in Montana 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· 15th of 51
$1,698
MT $2,570DE $851
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.