How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,445 to $4,898Professionalmedian $1,622 · 10th to 90th $955 to $14,125
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 $1,071.52 Median $1,071.52 Typical High $4,897.79 | Facility | None | $1,071.52 | $1,071.52 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,897.79 | Professional | None | $1,071.52 | $1,071.52 | $4,897.79 |
AllWays Health Partners Setting Facility Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $6,918.31 | Facility | None | $2,187.76 | $2,344.23 | $6,918.31 |
AllWays Health Partners Setting Professional Modifier None Typical Low $954.99 Median $2,511.89 Typical High $14,125.38 | Professional | None | $954.99 | $2,511.89 | $14,125.38 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $4,265.80 | Facility | None | $2,454.71 | $3,162.28 | $4,265.80 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,621.81 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $1,737.80 | Facility | None | $1,412.54 | $1,621.81 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,174.90 | $1,659.59 |
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 $954.99 Median $2,137.96 Typical High $2,187.76 | Professional | None | $954.99 | $2,137.96 | $2,187.76 |
Health New England Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Mass General Brigham Setting Facility Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $6,918.31 | Facility | None | $2,187.76 | $2,344.23 | $6,918.31 |
Mass General Brigham Setting Professional Modifier None Typical Low $954.99 Median $2,511.89 Typical High $14,125.38 | Professional | None | $954.99 | $2,511.89 | $14,125.38 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $2,238.72 | Professional | None | $812.83 | $1,230.27 | $2,238.72 |
Well Sense Setting Facility Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,365.16 | Facility | None | $2,187.76 | $2,884.03 | $4,365.16 |
Well Sense Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Professional | None | $1,584.89 | $1,584.89 | $1,905.46 |
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 $537.03 Median $537.03 Typical High $2,454.71 | Professional | 52 · Reduced service | $537.03 | $537.03 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $977.24 | Professional | 53 · Discontinued | $213.80 | $213.80 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $741.31 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $489.78 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $489.78 |
Where Massachusetts sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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· 11th of 51
$2,042
HI $3,020PA $1,122
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.