How much rates vary
Facilitymedian $490 · 10th to 90th $288 to $1,549Professionalmedian $355 · 10th to 90th $209 to $3,467
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 $218.78 Median $218.78 Typical High $1,000.00 | Facility | None | $218.78 | $218.78 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,000.00 | Professional | None | $218.78 | $218.78 | $1,000.00 |
AllWays Health Partners Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $1,584.89 | Facility | None | $478.63 | $489.78 | $1,584.89 |
AllWays Health Partners Setting Professional Modifier None Typical Low $208.93 Median $512.86 Typical High $3,467.37 | Professional | None | $208.93 | $512.86 | $3,467.37 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $891.25 | Facility | None | $288.40 | $288.40 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $354.81 Typical High $354.81 | Facility | None | $288.40 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
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 $194.98 Median $426.58 Typical High $457.09 | Professional | None | $194.98 | $426.58 | $457.09 |
Health New England Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $1,584.89 | Facility | None | $478.63 | $489.78 | $1,584.89 |
Mass General Brigham Setting Professional Modifier None Typical Low $208.93 Median $512.86 Typical High $3,467.37 | Professional | None | $208.93 | $512.86 | $3,467.37 |
United Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $630.96 | Facility | None | $234.42 | $309.03 | $630.96 |
United Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $489.78 | Professional | None | $165.96 | $251.19 | $489.78 |
Well Sense Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $891.25 | Facility | None | $446.68 | $602.56 | $891.25 |
Well Sense Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Professional | None | $331.13 | $331.13 | $398.11 |
5 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 $109.65 Median $109.65 Typical High $501.19 | Professional | 52 · Reduced service | $109.65 | $109.65 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $199.53 | Professional | 53 · Discontinued | $43.65 | $43.65 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $151.36 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $100.00 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $100.00 |
BCBS Massachusetts Setting Professional Modifier RA · Replacement item Typical Low $331.13 Median $389.05 Typical High $389.05 | Professional | RA · Replacement item | $331.13 | $389.05 | $389.05 |
Where Massachusetts sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 17th of 51
$372
HI $832FL $240
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.