How much rates vary
Facilitymedian $631 · 10th to 90th $380 to $1,862Professionalmedian $457 · 10th to 90th $257 to $3,631
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 $288.40 Median $288.40 Typical High $1,318.26 | Facility | None | $288.40 | $288.40 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $1,318.26 | Professional | None | $288.40 | $288.40 | $1,318.26 |
AllWays Health Partners Setting Facility Modifier None Typical Low $588.84 Median $630.96 Typical High $1,862.09 | Facility | None | $588.84 | $630.96 | $1,862.09 |
AllWays Health Partners Setting Professional Modifier None Typical Low $257.04 Median $676.08 Typical High $3,630.78 | Professional | None | $257.04 | $676.08 | $3,630.78 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $1,148.15 | Facility | None | $380.19 | $380.19 | $1,148.15 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $588.84 | Professional | None | $426.58 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $501.19 | Facility | None | $380.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $645.65 | Professional | None | $363.08 | $363.08 | $645.65 |
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 $257.04 Median $575.44 Typical High $602.56 | Professional | None | $257.04 | $575.44 | $602.56 |
Health New England Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Mass General Brigham Setting Facility Modifier None Typical Low $588.84 Median $630.96 Typical High $1,862.09 | Facility | None | $588.84 | $630.96 | $1,862.09 |
Mass General Brigham Setting Professional Modifier None Typical Low $257.04 Median $676.08 Typical High $3,630.78 | Professional | None | $257.04 | $676.08 | $3,630.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $794.33 | Facility | None | $229.09 | $288.40 | $794.33 |
United Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $616.60 | Professional | None | $218.78 | $346.74 | $616.60 |
Well Sense Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,174.90 | Facility | None | $588.84 | $776.25 | $1,174.90 |
Well Sense Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Professional | None | $426.58 | $426.58 | $512.86 |
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 $144.54 Median $144.54 Typical High $660.69 | Professional | 52 · Reduced service | $144.54 | $144.54 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $263.03 | Professional | 53 · Discontinued | $57.54 | $57.54 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $194.98 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $131.83 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $131.83 |
Where Massachusetts sits
The same service costs 2.3 times more in Wisconsin than in Florida. 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· 15th of 51
$537
WI $776FL $339
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.