How much rates vary
Facilitymedian $2,570 · 10th to 90th $1,230 to $4,571Professionalmedian $1,479 · 10th to 90th $891 to $11,749
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 $1,000.00 Median $1,000.00 Typical High $4,570.88 | Facility | None | $1,000.00 | $1,000.00 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $4,570.88 | Professional | None | $1,000.00 | $1,000.00 | $4,570.88 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $6,456.54 | Facility | None | $1,819.70 | $2,187.76 | $6,456.54 |
AllWays Health Partners Setting Professional Modifier None Typical Low $891.25 Median $2,344.23 Typical High $11,748.98 | Professional | None | $891.25 | $2,344.23 | $11,748.98 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $3,981.07 | Facility | None | $2,290.87 | $2,951.21 | $3,981.07 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,659.59 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,230.27 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,258.93 | Professional | None | $891.25 | $891.25 | $1,258.93 |
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 $870.96 Median $1,995.26 Typical High $2,089.30 | Professional | None | $870.96 | $1,995.26 | $2,089.30 |
Health New England Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $6,456.54 | Facility | None | $1,819.70 | $2,187.76 | $6,456.54 |
Mass General Brigham Setting Professional Modifier None Typical Low $891.25 Median $2,344.23 Typical High $11,748.98 | Professional | None | $891.25 | $2,344.23 | $11,748.98 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,344.23 | Facility | None | $977.24 | $1,148.15 | $2,344.23 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,137.96 | Professional | None | $758.58 | $1,174.90 | $2,137.96 |
Well Sense Setting Facility Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $4,073.80 | Facility | None | $2,041.74 | $2,754.23 | $4,073.80 |
Well Sense Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,479.11 | $1,778.28 |
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 $501.19 Median $501.19 Typical High $2,290.87 | Professional | 52 · Reduced service | $501.19 | $501.19 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $912.01 | Professional | 53 · Discontinued | $199.53 | $199.53 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $691.83 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $457.09 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $457.09 |
Where Massachusetts sits
The same service costs 2.8 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· 7th of 51
$1,862
HI $2,455PA $891
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.