How much rates vary
Facilitymedian $191 · 10th to 90th $100 to $692Professionalmedian $141 · 10th to 90th $89 to $324
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 $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | None | $89.13 | $89.13 | $128.82 |
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 $89.13 Median $208.93 Typical High $1,023.29 | Professional | None | $89.13 | $208.93 | $1,023.29 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,479.11 | Facility | None | $489.78 | $489.78 | $1,479.11 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $245.47 | Professional | None | $134.90 | $141.25 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Facility | None | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $128.82 | Professional | None | $93.33 | $93.33 | $128.82 |
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 $77.62 Median $173.78 Typical High $186.21 | Professional | None | $77.62 | $173.78 | $186.21 |
Health New England Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Health New England Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | None | $100.00 | $100.00 | $128.82 |
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 $89.13 Median $208.93 Typical High $1,023.29 | Professional | None | $89.13 | $208.93 | $1,023.29 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $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 $138.04 Median $190.55 Typical High $275.42 | Facility | None | $138.04 | $190.55 | $275.42 |
Well Sense Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | None | $134.90 | $134.90 | $162.18 |
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 $44.67 Median $44.67 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | 55 · Aftercare only | $13.49 | $13.49 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $12.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | RR · Rental | $10.72 | $10.72 | $12.59 |
Where Massachusetts sits
The same service costs 2.1 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· 21st of 51
$141
HI $200DE $93.33
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.