How much rates vary
Facilitymedian $741 · 10th to 90th $417 to $2,042Professionalmedian $525 · 10th to 90th $316 to $6,310
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 $316.23 Median $316.23 Typical High $1,445.44 | Facility | None | $316.23 | $316.23 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $1,445.44 | Professional | None | $316.23 | $316.23 | $1,445.44 |
AllWays Health Partners Setting Facility Modifier None Typical Low $645.65 Median $741.31 Typical High $2,041.74 | Facility | None | $645.65 | $741.31 | $2,041.74 |
AllWays Health Partners Setting Professional Modifier None Typical Low $302.00 Median $741.31 Typical High $6,309.57 | Professional | None | $302.00 | $741.31 | $6,309.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,258.93 | Facility | None | $416.87 | $416.87 | $1,258.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $524.81 Median $549.54 Typical High $549.54 | Professional | None | $524.81 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $446.68 Typical High $501.19 | Facility | None | $416.87 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $457.09 | Professional | None | $331.13 | $331.13 | $457.09 |
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 $281.84 Median $616.60 Typical High $660.69 | Professional | None | $281.84 | $616.60 | $660.69 |
Health New England Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $645.65 Median $741.31 Typical High $2,041.74 | Facility | None | $645.65 | $741.31 | $2,041.74 |
Mass General Brigham Setting Professional Modifier None Typical Low $302.00 Median $741.31 Typical High $6,309.57 | Professional | None | $302.00 | $741.31 | $6,309.57 |
United Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $977.24 | Facility | None | $478.63 | $630.96 | $977.24 |
United Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $707.95 | Professional | None | $239.88 | $363.08 | $707.95 |
Well Sense Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $1,288.25 | Facility | None | $645.65 | $870.96 | $1,288.25 |
Well Sense Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | None | $467.74 | $467.74 | $562.34 |
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 $158.49 Median $158.49 Typical High $724.44 | Professional | 52 · Reduced service | $158.49 | $158.49 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $288.40 | Professional | 53 · Discontinued | $63.10 | $63.10 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $213.80 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $31.62 Typical High $144.54 | Professional | 56 · Pre-op care only | $31.62 | $31.62 | $144.54 |
Where Massachusetts sits
The same service costs 4.6 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· 18th of 51
$550
HI $1,514DE $331
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.