How much rates vary
Facilitymedian $7,943 · 10th to 90th $4,169 to $12,589Professionalmedian $4,898 · 10th to 90th $2,818 to $47,863
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 $3,162.28 Median $3,162.28 Typical High $14,454.40 | Facility | None | $3,162.28 | $3,162.28 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $14,454.40 | Professional | None | $3,162.28 | $3,162.28 | $14,454.40 |
AllWays Health Partners Setting Facility Modifier None Typical Low $6,456.54 Median $6,760.83 Typical High $20,417.38 | Facility | None | $6,456.54 | $6,760.83 | $20,417.38 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,818.38 Median $7,244.36 Typical High $47,863.01 | Professional | None | $2,818.38 | $7,244.36 | $47,863.01 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $7,244.36 Median $9,332.54 Typical High $12,589.25 | Facility | None | $7,244.36 | $9,332.54 | $12,589.25 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $4,677.35 Median $6,309.57 Typical High $6,309.57 | Professional | None | $4,677.35 | $6,309.57 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,897.79 Typical High $5,011.87 | Facility | None | $4,168.69 | $4,897.79 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
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 $2,818.38 Median $6,309.57 Typical High $6,309.57 | Professional | None | $2,818.38 | $6,309.57 | $6,309.57 |
Health New England Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Mass General Brigham Setting Facility Modifier None Typical Low $6,456.54 Median $6,760.83 Typical High $20,417.38 | Facility | None | $6,456.54 | $6,760.83 | $20,417.38 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,818.38 Median $7,244.36 Typical High $47,863.01 | Professional | None | $2,818.38 | $7,244.36 | $47,863.01 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $8,317.64 | Facility | None | $4,073.80 | $5,370.32 | $8,317.64 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $6,456.54 | Professional | None | $2,398.83 | $3,548.13 | $6,456.54 |
Well Sense Setting Facility Modifier None Typical Low $6,456.54 Median $8,709.64 Typical High $12,589.25 | Facility | None | $6,456.54 | $8,709.64 | $12,589.25 |
Well Sense Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,623.41 | Professional | None | $4,677.35 | $4,677.35 | $5,623.41 |
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 $1,584.89 Median $1,584.89 Typical High $7,244.36 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $7,244.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $2,884.03 | Professional | 53 · Discontinued | $630.96 | $630.96 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $2,137.96 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $2,137.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $1,445.44 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $1,445.44 |
Where Massachusetts sits
The same service costs 3.5 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· 13th of 51
$5,888
HI $11,482DC $3,311
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.