How much rates vary
Facilitymedian $617 · 10th to 90th $339 to $1,820Professionalmedian $427 · 10th to 90th $245 to $3,548
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 $281.84 Median $281.84 Typical High $1,288.25 | Facility | None | $281.84 | $281.84 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $1,288.25 | Professional | None | $281.84 | $281.84 | $1,288.25 |
AllWays Health Partners Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $1,819.70 | Facility | None | $524.81 | $616.60 | $1,819.70 |
AllWays Health Partners Setting Professional Modifier None Typical Low $251.19 Median $660.69 Typical High $3,548.13 | Professional | None | $251.19 | $660.69 | $3,548.13 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,122.02 | Facility | None | $371.54 | $371.54 | $1,122.02 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $575.44 | Professional | None | $467.74 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $371.54 | Facility | None | $338.84 | $338.84 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | None | $245.47 | $245.47 | $346.74 |
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 $251.19 Median $562.34 Typical High $575.44 | Professional | None | $251.19 | $562.34 | $575.44 |
Health New England Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Mass General Brigham Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $1,819.70 | Facility | None | $524.81 | $616.60 | $1,819.70 |
Mass General Brigham Setting Professional Modifier None Typical Low $251.19 Median $660.69 Typical High $3,548.13 | Professional | None | $251.19 | $660.69 | $3,548.13 |
United Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $707.95 | Facility | None | $263.03 | $363.08 | $707.95 |
United Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $588.84 | Professional | None | $213.80 | $323.59 | $588.84 |
Well Sense Setting Facility Modifier None Typical Low $575.44 Median $758.58 Typical High $1,148.15 | Facility | None | $575.44 | $758.58 | $1,148.15 |
Well Sense Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
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 $141.25 Median $141.25 Typical High $645.65 | Professional | 52 · Reduced service | $141.25 | $141.25 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $257.04 | Professional | 53 · Discontinued | $56.23 | $56.23 | $257.04 |
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 $28.18 Median $28.18 Typical High $128.82 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $128.82 |
Where Massachusetts sits
The same service costs 2.8 times more in Wyoming 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
$468
WY $676DE $245
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.