How much rates vary
Facilitymedian $1,660 · 10th to 90th $912 to $2,884Professionalmedian $1,122 · 10th to 90th $562 to $9,333
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 $630.96 Median $630.96 Typical High $2,884.03 | Facility | None | $630.96 | $630.96 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $2,884.03 | Professional | None | $630.96 | $630.96 | $2,884.03 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,479.11 | $4,073.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $562.34 Median $1,479.11 Typical High $9,332.54 | Professional | None | $562.34 | $1,479.11 | $9,332.54 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,511.89 | Facility | None | $1,445.44 | $1,862.09 | $2,511.89 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $977.24 | Facility | None | $831.76 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
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 $562.34 Median $1,258.93 Typical High $1,318.26 | Professional | None | $562.34 | $1,258.93 | $1,318.26 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,348.96 Median $1,479.11 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,479.11 | $4,073.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $562.34 Median $1,479.11 Typical High $9,332.54 | Professional | None | $562.34 | $1,479.11 | $9,332.54 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,949.84 | Facility | None | $812.83 | $954.99 | $1,949.84 |
United Setting Professional Modifier None Typical Low $478.63 Median $776.25 Typical High $1,412.54 | Professional | None | $478.63 | $776.25 | $1,412.54 |
Well Sense Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,570.40 | Facility | None | $1,288.25 | $1,698.24 | $2,570.40 |
Well Sense Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | None | $933.25 | $933.25 | $1,122.02 |
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 $316.23 Median $316.23 Typical High $1,445.44 | Professional | 52 · Reduced service | $316.23 | $316.23 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $575.44 | Professional | 53 · Discontinued | $125.89 | $125.89 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $436.52 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $288.40 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $288.40 |
Where Massachusetts sits
The same service costs 3.2 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· 18th of 51
$1,202
HI $2,138DE $661
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.