How much rates vary
Facilitymedian $589 · 10th to 90th $355 to $1,738Professionalmedian $427 · 10th to 90th $240 to $3,236
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 $269.15 Median $269.15 Typical High $1,230.27 | Facility | None | $269.15 | $269.15 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $1,230.27 | Professional | None | $269.15 | $269.15 | $1,230.27 |
AllWays Health Partners Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $1,737.80 | Facility | None | $549.54 | $588.84 | $1,737.80 |
AllWays Health Partners Setting Professional Modifier None Typical Low $239.88 Median $630.96 Typical High $3,235.94 | Professional | None | $239.88 | $630.96 | $3,235.94 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,071.52 | Facility | None | $354.81 | $354.81 | $1,071.52 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $549.54 | Professional | None | $446.68 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $426.58 | Facility | None | $354.81 | $398.11 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
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 $239.88 Median $537.03 Typical High $549.54 | Professional | None | $239.88 | $537.03 | $549.54 |
Health New England Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Mass General Brigham Setting Facility Modifier None Typical Low $549.54 Median $588.84 Typical High $1,737.80 | Facility | None | $549.54 | $588.84 | $1,737.80 |
Mass General Brigham Setting Professional Modifier None Typical Low $239.88 Median $630.96 Typical High $3,235.94 | Professional | None | $239.88 | $630.96 | $3,235.94 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $724.44 | Facility | None | $281.84 | $331.13 | $724.44 |
United Setting Professional Modifier None Typical Low $204.17 Median $316.23 Typical High $562.34 | Professional | None | $204.17 | $316.23 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $724.44 Typical High $1,096.48 | Facility | None | $549.54 | $724.44 | $1,096.48 |
Well Sense Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | None | $398.11 | $398.11 | $478.63 |
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 $134.90 Median $134.90 Typical High $616.60 | Professional | 52 · Reduced service | $134.90 | $134.90 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $245.47 | Professional | 53 · Discontinued | $53.70 | $53.70 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $181.97 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $123.03 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $123.03 |
Where Massachusetts sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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· 16th of 51
$457
HI $741DC $288
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.