How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,023 to $3,467Professionalmedian $1,175 · 10th to 90th $692 to $10,233
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 $758.58 Median $758.58 Typical High $3,467.37 | Facility | None | $758.58 | $758.58 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $3,467.37 | Professional | None | $758.58 | $758.58 | $3,467.37 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $4,897.79 | Facility | None | $1,584.89 | $1,659.59 | $4,897.79 |
AllWays Health Partners Setting Professional Modifier None Typical Low $691.83 Median $1,778.28 Typical High $10,232.93 | Professional | None | $691.83 | $1,778.28 | $10,232.93 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $3,019.95 | Facility | None | $1,778.28 | $2,290.87 | $3,019.95 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Facility | None | $954.99 | $954.99 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | None | $707.95 | $707.95 | $977.24 |
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 $691.83 Median $1,548.82 Typical High $1,584.89 | Professional | None | $691.83 | $1,548.82 | $1,584.89 |
Health New England Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $4,897.79 | Facility | None | $1,584.89 | $1,659.59 | $4,897.79 |
Mass General Brigham Setting Professional Modifier None Typical Low $691.83 Median $1,778.28 Typical High $10,232.93 | Professional | None | $691.83 | $1,778.28 | $10,232.93 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $2,089.30 | Facility | None | $173.78 | $1,023.29 | $2,089.30 |
United Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,584.89 | Professional | None | $588.84 | $891.25 | $1,584.89 |
Well Sense Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,090.30 | Facility | None | $1,584.89 | $2,089.30 | $3,090.30 |
Well Sense Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,380.38 | Professional | None | $1,148.15 | $1,148.15 | $1,380.38 |
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 $380.19 Median $380.19 Typical High $1,737.80 | Professional | 52 · Reduced service | $380.19 | $380.19 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $707.95 | Professional | 53 · Discontinued | $154.88 | $154.88 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $524.81 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $346.74 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $346.74 |
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· 12th of 51
$1,445
HI $2,239DE $708
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.