How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,820 to $5,888Professionalmedian $2,291 · 10th to 90th $1,230 to $19,498
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 $1,380.38 Median $1,380.38 Typical High $6,309.57 | Facility | None | $1,380.38 | $1,380.38 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $6,309.57 | Professional | None | $1,380.38 | $1,380.38 | $6,309.57 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $8,912.51 | Facility | None | $2,951.21 | $3,019.95 | $8,912.51 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $19,498.45 | Professional | None | $1,230.27 | $3,235.94 | $19,498.45 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,162.28 Median $4,073.80 Typical High $5,495.41 | Facility | None | $3,162.28 | $4,073.80 | $5,495.41 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,290.87 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,318.26 | $1,862.09 |
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 $1,230.27 Median $2,754.23 Typical High $2,884.03 | Professional | None | $1,230.27 | $2,754.23 | $2,884.03 |
Health New England Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,951.21 Median $3,019.95 Typical High $8,912.51 | Facility | None | $2,951.21 | $3,019.95 | $8,912.51 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $19,498.45 | Professional | None | $1,230.27 | $3,235.94 | $19,498.45 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,981.07 | Facility | None | $1,778.28 | $2,041.74 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,698.24 Typical High $3,090.30 | Professional | None | $1,047.13 | $1,698.24 | $3,090.30 |
Well Sense Setting Facility Modifier None Typical Low $2,818.38 Median $3,801.89 Typical High $5,623.41 | Facility | None | $2,818.38 | $3,801.89 | $5,623.41 |
Well Sense Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,041.74 | $2,454.71 |
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 $691.83 Median $691.83 Typical High $3,162.28 | Professional | 52 · Reduced service | $691.83 | $691.83 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $275.42 Typical High $1,258.93 | Professional | 53 · Discontinued | $275.42 | $275.42 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $954.99 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $630.96 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $630.96 |
Where Massachusetts sits
The same service costs 3.1 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· 14th of 51
$2,630
HI $4,074DE $1,318
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.