How much rates vary
Facilitymedian $759 · 10th to 90th $398 to $2,239Professionalmedian $513 · 10th to 90th $295 to $4,467
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 $346.74 Median $346.74 Typical High $1,584.89 | Facility | None | $346.74 | $346.74 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $1,584.89 | Professional | None | $346.74 | $346.74 | $1,584.89 |
AllWays Health Partners Setting Facility Modifier None Typical Low $616.60 Median $758.58 Typical High $2,238.72 | Facility | None | $616.60 | $758.58 | $2,238.72 |
AllWays Health Partners Setting Professional Modifier None Typical Low $309.03 Median $812.83 Typical High $4,466.84 | Professional | None | $309.03 | $812.83 | $4,466.84 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,380.38 | Facility | None | $457.09 | $457.09 | $1,380.38 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $707.95 | Professional | None | $512.86 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $457.09 | Facility | None | $398.11 | $398.11 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
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 $302.00 Median $691.83 Typical High $707.95 | Professional | None | $302.00 | $691.83 | $707.95 |
Health New England Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Mass General Brigham Setting Facility Modifier None Typical Low $616.60 Median $758.58 Typical High $2,238.72 | Facility | None | $616.60 | $758.58 | $2,238.72 |
Mass General Brigham Setting Professional Modifier None Typical Low $309.03 Median $812.83 Typical High $4,466.84 | Professional | None | $309.03 | $812.83 | $4,466.84 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $812.83 | Facility | None | $398.11 | $398.11 | $812.83 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $724.44 | Professional | None | $263.03 | $398.11 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $933.25 Typical High $1,380.38 | Facility | None | $707.95 | $933.25 | $1,380.38 |
Well Sense Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | None | $512.86 | $512.86 | $616.60 |
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 $173.78 Median $173.78 Typical High $794.33 | Professional | 52 · Reduced service | $173.78 | $173.78 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $316.23 | Professional | 53 · Discontinued | $69.18 | $69.18 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $234.42 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $158.49 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $158.49 |
Where Massachusetts sits
The same service costs 3.7 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· 10th of 51
$575
HI $1,096DE $295
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.