How much rates vary
Facilitymedian $178 · 10th to 90th $100 to $589Professionalmedian $135 · 10th to 90th $72 to $1,202
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 $83.18 Median $83.18 Typical High $380.19 | Facility | None | $83.18 | $83.18 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $380.19 | Professional | None | $83.18 | $83.18 | $380.19 |
AllWays Health Partners Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $588.84 | Facility | None | $165.96 | $177.83 | $588.84 |
AllWays Health Partners Setting Professional Modifier None Typical Low $74.13 Median $190.55 Typical High $1,202.26 | Professional | None | $74.13 | $190.55 | $1,202.26 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $331.13 | Facility | None | $109.65 | $109.65 | $331.13 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | None | $134.90 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Facility | None | $100.00 | $100.00 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
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 $74.13 Median $165.96 Typical High $165.96 | Professional | None | $74.13 | $165.96 | $165.96 |
Health New England Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Mass General Brigham Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $588.84 | Facility | None | $165.96 | $177.83 | $588.84 |
Mass General Brigham Setting Professional Modifier None Typical Low $74.13 Median $190.55 Typical High $1,202.26 | Professional | None | $74.13 | $190.55 | $1,202.26 |
United Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $218.78 | Facility | None | $102.33 | $107.15 | $218.78 |
United Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $169.82 | Professional | None | $63.10 | $93.33 | $169.82 |
Well Sense Setting Facility Modifier None Typical Low $169.82 Median $223.87 Typical High $331.13 | Facility | None | $169.82 | $223.87 | $331.13 |
Well Sense Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | None | $123.03 | $123.03 | $147.91 |
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 $41.69 Median $41.69 Typical High $190.55 | Professional | 52 · Reduced service | $41.69 | $41.69 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $75.86 | Professional | 53 · Discontinued | $16.60 | $16.60 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $56.23 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $38.02 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $38.02 |
Where Massachusetts sits
The same service costs 4.1 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· 15th of 51
$145
HI $295DE $72.44
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.