How much rates vary
Facilitymedian $355 · 10th to 90th $182 to $1,122Professionalmedian $240 · 10th to 90th $145 to $1,950
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 $162.18 Median $162.18 Typical High $741.31 | Facility | None | $162.18 | $162.18 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $741.31 | Professional | None | $162.18 | $162.18 | $741.31 |
AllWays Health Partners Setting Facility Modifier None Typical Low $346.74 Median $354.81 Typical High $1,148.15 | Facility | None | $346.74 | $354.81 | $1,148.15 |
AllWays Health Partners Setting Professional Modifier None Typical Low $151.36 Median $380.19 Typical High $1,949.84 | Professional | None | $151.36 | $380.19 | $1,949.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | None | $239.88 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
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 $144.54 Median $316.23 Typical High $338.84 | Professional | None | $144.54 | $316.23 | $338.84 |
Health New England Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Health New England Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Mass General Brigham Setting Facility Modifier None Typical Low $346.74 Median $354.81 Typical High $1,148.15 | Facility | None | $346.74 | $354.81 | $1,148.15 |
Mass General Brigham Setting Professional Modifier None Typical Low $151.36 Median $380.19 Typical High $1,949.84 | Professional | None | $151.36 | $380.19 | $1,949.84 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $363.08 | Professional | None | $123.03 | $186.21 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $660.69 | Facility | None | $331.13 | $436.52 | $660.69 |
Well Sense Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None | $239.88 | $239.88 | $288.40 |
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 $81.28 Median $81.28 Typical High $371.54 | Professional | 52 · Reduced service | $81.28 | $81.28 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $147.91 | Professional | 53 · Discontinued | $32.36 | $32.36 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $109.65 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $74.13 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $74.13 |
Where Massachusetts sits
The same service costs 2.4 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· 20th of 51
$245
HI $380DE $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.