How much rates vary
Facilitymedian $6,607 · 10th to 90th $3,548 to $10,965Professionalmedian $3,890 · 10th to 90th $2,344 to $45,709
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 $2,570.40 Median $2,570.40 Typical High $11,748.98 | Facility | None | $2,570.40 | $2,570.40 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $11,748.98 | Professional | None | $2,570.40 | $2,570.40 | $11,748.98 |
AllWays Health Partners Setting Facility Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $16,595.87 | Facility | None | $5,128.61 | $5,623.41 | $16,595.87 |
AllWays Health Partners Setting Professional Modifier None Typical Low $2,344.23 Median $6,025.60 Typical High $45,708.82 | Professional | None | $2,344.23 | $6,025.60 | $45,708.82 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $6,025.60 Median $7,762.47 Typical High $10,232.93 | Facility | None | $6,025.60 | $7,762.47 | $10,232.93 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $3,890.45 Median $5,248.07 Typical High $5,248.07 | Professional | None | $3,890.45 | $5,248.07 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,467.37 | $3,548.13 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,630.78 | Professional | None | $2,630.27 | $2,630.27 | $3,630.78 |
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 $2,344.23 Median $5,248.07 Typical High $5,370.32 | Professional | None | $2,344.23 | $5,248.07 | $5,370.32 |
Health New England Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Mass General Brigham Setting Facility Modifier None Typical Low $5,128.61 Median $5,623.41 Typical High $16,595.87 | Facility | None | $5,128.61 | $5,623.41 | $16,595.87 |
Mass General Brigham Setting Professional Modifier None Typical Low $2,344.23 Median $6,025.60 Typical High $45,708.82 | Professional | None | $2,344.23 | $6,025.60 | $45,708.82 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $6,606.93 | Facility | None | $3,235.94 | $4,365.16 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $5,495.41 | Professional | None | $1,995.26 | $2,951.21 | $5,495.41 |
Well Sense Setting Facility Modifier None Typical Low $5,370.32 Median $7,079.46 Typical High $10,471.29 | Facility | None | $5,370.32 | $7,079.46 | $10,471.29 |
Well Sense Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,677.35 | Professional | None | $3,890.45 | $3,890.45 | $4,677.35 |
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 $1,288.25 Median $1,288.25 Typical High $5,888.44 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $5,888.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $2,398.83 | Professional | 53 · Discontinued | $512.86 | $512.86 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $389.05 Typical High $1,778.28 | Professional | 55 · Aftercare only | $389.05 | $389.05 | $1,778.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $1,174.90 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $1,174.90 |
Where Massachusetts sits
The same service costs 4.3 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· 6th of 51
$4,898
HI $11,220PA $2,630
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.