How much rates vary
Facilitymedian $380 · 10th to 90th $200 to $1,122Professionalmedian $245 · 10th to 90th $138 to $2,818
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 $173.78 Median $173.78 Typical High $794.33 | Facility | None | $173.78 | $173.78 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $794.33 | Professional | None | $173.78 | $173.78 | $794.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $309.03 Median $380.19 Typical High $1,122.02 | Facility | None | $309.03 | $380.19 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $151.36 Median $407.38 Typical High $2,818.38 | Professional | None | $151.36 | $407.38 | $2,818.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $707.95 | Facility | None | $234.42 | $234.42 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $234.42 | Facility | None | $186.21 | $186.21 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
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 $134.90 Median $338.84 Typical High $363.08 | Professional | None | $134.90 | $338.84 | $363.08 |
Health New England Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Mass General Brigham Setting Facility Modifier None Typical Low $309.03 Median $380.19 Typical High $1,122.02 | Facility | None | $309.03 | $380.19 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $151.36 Median $407.38 Typical High $2,818.38 | Professional | None | $151.36 | $407.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $407.38 | Facility | None | $199.53 | $263.03 | $407.38 |
United Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $389.05 | Professional | None | $134.90 | $199.53 | $389.05 |
Well Sense Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $707.95 | Facility | None | $363.08 | $489.78 | $707.95 |
Well Sense Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | None | $263.03 | $263.03 | $316.23 |
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 $87.10 Median $87.10 Typical High $398.11 | Professional | 52 · Reduced service | $87.10 | $87.10 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $162.18 | Professional | 53 · Discontinued | $35.48 | $35.48 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $26.30 Typical High $120.23 | Professional | 55 · Aftercare only | $26.30 | $26.30 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $17.38 Typical High $79.43 | Professional | 56 · Pre-op care only | $17.38 | $17.38 | $79.43 |
BCBS Massachusetts Setting Professional Modifier RA · Replacement item Typical Low $263.03 Median $309.03 Typical High $309.03 | Professional | RA · Replacement item | $263.03 | $309.03 | $309.03 |
Where Massachusetts sits
The same service costs 5.0 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· 5th of 51
$309
HI $692DE $138
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.