How much rates vary
Facilitymedian $1,479 · 10th to 90th $759 to $2,630Professionalmedian $955 · 10th to 90th $457 to $6,761
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 $575.44 Median $575.44 Typical High $2,630.27 | Facility | None | $575.44 | $575.44 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $2,630.27 | Professional | None | $575.44 | $575.44 | $2,630.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $3,715.35 | Facility | None | $1,047.13 | $1,258.93 | $3,715.35 |
AllWays Health Partners Setting Professional Modifier None Typical Low $501.19 Median $1,348.96 Typical High $6,760.83 | Professional | None | $501.19 | $1,348.96 | $6,760.83 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $2,290.87 | Facility | None | $1,348.96 | $1,698.24 | $2,290.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,023.29 | Professional | None | $954.99 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $758.58 | Facility | None | $616.60 | $616.60 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Professional | None | $457.09 | $457.09 | $630.96 |
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 $446.68 Median $1,122.02 Typical High $1,202.26 | Professional | None | $446.68 | $1,122.02 | $1,202.26 |
Health New England Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $3,715.35 | Facility | None | $1,047.13 | $1,258.93 | $3,715.35 |
Mass General Brigham Setting Professional Modifier None Typical Low $501.19 Median $1,348.96 Typical High $6,760.83 | Professional | None | $501.19 | $1,348.96 | $6,760.83 |
United Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $1,348.96 | Facility | None | $645.65 | $660.69 | $1,348.96 |
United Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $1,288.25 | Professional | None | $436.52 | $660.69 | $1,288.25 |
Well Sense Setting Facility Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,344.23 | Facility | None | $1,174.90 | $1,584.89 | $2,344.23 |
Well Sense Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,047.13 | Professional | None | $870.96 | $870.96 | $1,047.13 |
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 $288.40 Median $288.40 Typical High $1,318.26 | Professional | 52 · Reduced service | $288.40 | $288.40 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $524.81 | Professional | 53 · Discontinued | $114.82 | $114.82 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $398.11 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $263.03 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $263.03 |
Where Massachusetts sits
The same service costs 3.6 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· 7th of 51
$1,023
HI $1,660DE $457
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.