How much rates vary
Facilitymedian $1,047 · 10th to 90th $617 to $5,495Professionalmedian $724 · 10th to 90th $447 to $5,623
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | None | $467.74 | $467.74 | $645.65 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $2,754.23 | Facility | None | $1,000.00 | $1,023.29 | $2,754.23 |
AllWays Health Partners Setting Professional Modifier None Typical Low $467.74 Median $1,096.48 Typical High $5,623.41 | Professional | None | $467.74 | $1,096.48 | $5,623.41 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $16,595.87 | Facility | None | $5,495.41 | $5,495.41 | $16,595.87 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $758.58 | Professional | None | $724.44 | $724.44 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $630.96 | Professional | None | $446.68 | $446.68 | $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 $416.87 Median $933.25 Typical High $977.24 | Professional | None | $416.87 | $933.25 | $977.24 |
Health New England Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $2,754.23 | Facility | None | $1,000.00 | $1,023.29 | $2,754.23 |
Mass General Brigham Setting Professional Modifier None Typical Low $467.74 Median $1,096.48 Typical High $5,623.41 | Professional | None | $467.74 | $1,096.48 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $1,047.13 | Professional | None | $354.81 | $537.03 | $1,047.13 |
Well Sense Setting Facility Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,659.59 | Facility | None | $831.76 | $1,122.02 | $1,659.59 |
Well Sense Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,071.52 | Professional | None | $891.25 | $891.25 | $1,071.52 |
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 $234.42 Median $234.42 Typical High $323.59 | Professional | 52 · Reduced service | $234.42 | $234.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $128.82 | Professional | 53 · Discontinued | $93.33 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $95.50 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $64.57 |
Where Massachusetts sits
The same service costs 2.6 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· 20th of 51
$759
HI $1,175DE $447
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.