How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,291 to $6,166Professionalmedian $2,512 · 10th to 90th $1,318 to $22,909
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 $1,479.11 Median $1,479.11 Typical High $6,760.83 | Facility | None | $1,479.11 | $1,479.11 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $6,760.83 | Professional | None | $1,479.11 | $1,479.11 | $6,760.83 |
AllWays Health Partners Setting Facility Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $9,549.93 | Facility | None | $3,162.28 | $3,467.37 | $9,549.93 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $22,908.68 | Professional | None | $1,318.26 | $3,467.37 | $22,908.68 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $3,467.37 Median $4,365.16 Typical High $5,888.44 | Facility | None | $3,467.37 | $4,365.16 | $5,888.44 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,238.72 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,949.84 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
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 $1,318.26 Median $2,951.21 Typical High $3,090.30 | Professional | None | $1,318.26 | $2,951.21 | $3,090.30 |
Health New England Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Mass General Brigham Setting Facility Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $9,549.93 | Facility | None | $3,162.28 | $3,467.37 | $9,549.93 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $22,908.68 | Professional | None | $1,318.26 | $3,467.37 | $22,908.68 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $4,466.84 | Facility | None | $2,187.76 | $2,290.87 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $3,311.31 | Professional | None | $1,122.02 | $1,819.70 | $3,311.31 |
Well Sense Setting Facility Modifier None Typical Low $3,019.95 Median $4,073.80 Typical High $6,025.60 | Facility | None | $3,019.95 | $4,073.80 | $6,025.60 |
Well Sense Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
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 $741.31 Median $741.31 Typical High $3,388.44 | Professional | 52 · Reduced service | $741.31 | $741.31 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $1,348.96 | Professional | 53 · Discontinued | $295.12 | $295.12 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $1,023.29 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $676.08 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $676.08 |
Where Massachusetts sits
The same service costs 3.2 times more in Hawaii than in Washington, DC. 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
$2,818
HI $5,623DC $1,778
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.