How much rates vary
Facilitymedian $537 · 10th to 90th $269 to $1,778Professionalmedian $380 · 10th to 90th $200 to $2,884
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 $251.19 Median $251.19 Typical High $1,148.15 | Facility | None | $251.19 | $251.19 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $1,148.15 | Professional | None | $251.19 | $251.19 | $1,148.15 |
AllWays Health Partners Setting Facility Modifier None Typical Low $457.09 Median $537.03 Typical High $1,778.28 | Facility | None | $457.09 | $537.03 | $1,778.28 |
AllWays Health Partners Setting Professional Modifier None Typical Low $223.87 Median $575.44 Typical High $2,884.03 | Professional | None | $223.87 | $575.44 | $2,884.03 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,000.00 | Facility | None | $331.13 | $331.13 | $1,000.00 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $407.38 Median $501.19 Typical High $501.19 | Professional | None | $407.38 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $331.13 | Facility | None | $269.15 | $269.15 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
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 $218.78 Median $501.19 Typical High $501.19 | Professional | None | $218.78 | $501.19 | $501.19 |
Health New England Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Mass General Brigham Setting Facility Modifier None Typical Low $457.09 Median $537.03 Typical High $1,778.28 | Facility | None | $457.09 | $537.03 | $1,778.28 |
Mass General Brigham Setting Professional Modifier None Typical Low $223.87 Median $575.44 Typical High $2,884.03 | Professional | None | $223.87 | $575.44 | $2,884.03 |
United Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $588.84 | Facility | None | $281.84 | $288.40 | $588.84 |
United Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $512.86 | Professional | None | $190.55 | $281.84 | $512.86 |
Well Sense Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,000.00 | Facility | None | $512.86 | $676.08 | $1,000.00 |
Well Sense Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | None | $371.54 | $371.54 | $446.68 |
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 $125.89 Median $125.89 Typical High $575.44 | Professional | 52 · Reduced service | $125.89 | $125.89 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $229.09 | Professional | 53 · Discontinued | $50.12 | $50.12 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $169.82 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $114.82 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $114.82 |
Where Massachusetts sits
The same service costs 3.3 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· 13th of 51
$417
HI $661DE $200
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.