How much rates vary
Facilitymedian $2,884 · 10th to 90th $1,479 to $5,754Professionalmedian $1,738 · 10th to 90th $891 to $13,183
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 $1,122.02 Median $1,122.02 Typical High $5,128.61 | Facility | None | $1,122.02 | $1,122.02 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $5,128.61 | Professional | None | $1,122.02 | $1,122.02 | $5,128.61 |
AllWays Health Partners Setting Facility Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $7,244.36 | Facility | None | $1,995.26 | $2,454.71 | $7,244.36 |
AllWays Health Partners Setting Professional Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $13,182.57 | Professional | None | $1,000.00 | $2,630.27 | $13,182.57 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $2,630.27 Median $3,311.31 Typical High $4,466.84 | Facility | None | $2,630.27 | $3,311.31 | $4,466.84 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,479.11 | Facility | None | $1,230.27 | $1,230.27 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
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 $977.24 Median $2,238.72 Typical High $2,290.87 | Professional | None | $977.24 | $2,238.72 | $2,290.87 |
Health New England Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Mass General Brigham Setting Facility Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $7,244.36 | Facility | None | $1,995.26 | $2,454.71 | $7,244.36 |
Mass General Brigham Setting Professional Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $13,182.57 | Professional | None | $1,000.00 | $2,630.27 | $13,182.57 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,630.27 | Facility | None | $1,071.52 | $1,202.26 | $2,630.27 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $2,344.23 | Professional | None | $851.14 | $1,288.25 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $2,290.87 Median $3,090.30 Typical High $4,570.88 | Facility | None | $2,290.87 | $3,090.30 | $4,570.88 |
Well Sense Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,698.24 | $1,995.26 |
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 $562.34 Median $562.34 Typical High $2,570.40 | Professional | 52 · Reduced service | $562.34 | $562.34 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $1,023.29 | Professional | 53 · Discontinued | $223.87 | $223.87 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $776.25 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $512.86 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $512.86 |
Where Massachusetts sits
The same service costs 3.1 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· 9th of 51
$1,995
HI $2,754DE $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.