How much rates vary
Facilitymedian $209 · 10th to 90th $120 to $380Professionalmedian $123 · 10th to 90th $81 to $1,023
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 $89.13 Median $89.13 Typical High $407.38 | Facility | None | $89.13 | $89.13 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $407.38 | Professional | None | $89.13 | $89.13 | $407.38 |
AllWays Health Partners Setting Facility Modifier None Typical Low $186.21 Median $194.98 Typical High $660.69 | Facility | None | $186.21 | $194.98 | $660.69 |
AllWays Health Partners Setting Professional Modifier None Typical Low $81.28 Median $208.93 Typical High $1,023.29 | Professional | None | $81.28 | $208.93 | $1,023.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $208.93 Median $269.15 Typical High $354.81 | Facility | None | $208.93 | $269.15 | $354.81 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $138.04 | Professional | None | $117.49 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $125.89 | Facility | None | $112.20 | $112.20 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $114.82 | Professional | None | $83.18 | $83.18 | $114.82 |
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 $81.28 Median $173.78 Typical High $186.21 | Professional | None | $81.28 | $173.78 | $186.21 |
Health New England Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Health New England Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Mass General Brigham Setting Facility Modifier None Typical Low $186.21 Median $194.98 Typical High $660.69 | Facility | None | $186.21 | $194.98 | $660.69 |
Mass General Brigham Setting Professional Modifier None Typical Low $81.28 Median $208.93 Typical High $1,023.29 | Professional | None | $81.28 | $208.93 | $1,023.29 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $245.47 | Facility | None | $97.72 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $69.18 Median $102.33 Typical High $199.53 | Professional | None | $69.18 | $102.33 | $199.53 |
Well Sense Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $316.23 | Facility | None | $162.18 | $213.80 | $316.23 |
Well Sense Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | None | $125.89 | $125.89 | $151.36 |
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 $44.67 Median $44.67 Typical High $204.17 | Professional | 52 · Reduced service | $44.67 | $44.67 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $83.18 | Professional | 53 · Discontinued | $18.20 | $18.20 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $61.66 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $40.74 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $40.74 |
Where Massachusetts sits
The same service costs 2.3 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· 19th of 51
$138
HI $200DE $85.11
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.