How much rates vary
Facilitymedian $457 · 10th to 90th $263 to $1,175Professionalmedian $324 · 10th to 90th $195 to $955
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 $208.93 Median $208.93 Typical High $954.99 | Facility | None | $208.93 | $208.93 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $954.99 | Professional | None | $208.93 | $208.93 | $954.99 |
AllWays Health Partners Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $1,174.90 | Facility | None | $380.19 | $457.09 | $1,174.90 |
AllWays Health Partners Setting Professional Modifier None Typical Low $186.21 Median $489.78 Typical High $3,801.89 | Professional | None | $186.21 | $489.78 | $3,801.89 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $831.76 | Facility | None | $275.42 | $275.42 | $831.76 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $549.54 | Professional | None | $316.23 | $323.59 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Facility | None | $263.03 | $263.03 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None | $194.98 | $194.98 | $269.15 |
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 $186.21 Median $407.38 Typical High $436.52 | Professional | None | $186.21 | $407.38 | $436.52 |
Health New England Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Mass General Brigham Setting Facility Modifier None Typical Low $380.19 Median $457.09 Typical High $1,174.90 | Facility | None | $380.19 | $457.09 | $1,174.90 |
Mass General Brigham Setting Professional Modifier None Typical Low $186.21 Median $489.78 Typical High $3,801.89 | Professional | None | $186.21 | $489.78 | $3,801.89 |
United Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $562.34 | Facility | None | $213.80 | $275.42 | $562.34 |
United Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $457.09 | Professional | None | $158.49 | $239.88 | $457.09 |
Well Sense Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $741.31 | Facility | None | $371.54 | $501.19 | $741.31 |
Well Sense Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Professional | None | $295.12 | $295.12 | $354.81 |
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 $104.71 Median $104.71 Typical High $478.63 | Professional | 52 · Reduced service | $104.71 | $104.71 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $190.55 | Professional | 53 · Discontinued | $41.69 | $41.69 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $31.62 Typical High $144.54 | Professional | 55 · Aftercare only | $31.62 | $31.62 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $95.50 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $95.50 |
Where Massachusetts sits
The same service costs 4.7 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
$324
HI $912DE $195
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.